Payton Michelle Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9169 Issued in LA

Practice address

107 Summer LN
West Monroe, LA 71291-3501

Phone

(318) 396-1969

Fax

(318) 396-1970

NPI assigned

Oct 26, 2022

Last updated

Jul 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Melanie Massey Physical Therapy Inc

  • Physical Therapist
  • Monroe, LA
  • NPI 1104922475

  Speech-Language Pathologist

  Medicare reassignment NPD
• Melanie Massey Infant & Toddler LLC

  • Speech-Language Pathologist
  • West Monroe, LA
  • NPI 1447453865
  NPD (past)

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1649997073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969",
            "fax_number": "318-396-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAYTON",
        "middle_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9169",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Clarke Johnson, M.A. CCC-SLP
• Christian Johnson
• Christopher Brian Johnson, LPTA
• Kala Johnson
• Mackenzie Alexendria Johnson
• Tiffany Johnson, FNP-C
• Zacharia Johnson
• Haven Michael Johnston, LOTR
• Brian Jones
• Candance S Jones

• Speech-Language Pathologist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.