Amber Kristine Johnson, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

42964 Issued in TX

Practice address

139 Private Road 5396
Kirbyville, TX 75956-3235

Phone

(409) 449-5498

NPI assigned

Feb 1, 2023

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 409 Therapy Services, PLLC

  • Speech-Language Pathologist
  • Kirbyville, TX
  • NPI 1972240166
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1649976721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 PRIVATE ROAD 5396",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759563235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PRIVATE ROAD 5396",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759563235",
            "telephone_number": "409-449-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMBER",
        "middle_name": "KRISTINE",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Care Innovations, Inc.
• Haley Jacobs
• Jasper Memorial Family Practice Center
• Jasper Newton County Public Health District
• Kaitlyn Jenkins, MS, CCC-SLP
• Kirbyville Isd
• Liberty County Hospital District No 1 (Avalon Place--Kirbyville)
• Sara Longoria
• Kena Katherine Mahan
• Jessica Manuel

• Speech-Language Assistant in Kirbyville, TX
• Providers in Kirbyville, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.