Christina Rodriguez Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009728 Issued in GA

Practice address

1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329-2475

Phone

(404) 228-8558

Fax

(404) 228-8659

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By 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

Electronic endpoints 1

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.

• Propel Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Brookhaven, GA
  • NPI 1508557802
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1669021499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NORTHEAST EXPY NE STE 120",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292475",
            "telephone_number": "404-228-8558",
            "fax_number": "404-228-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NORTHEAST EXPY NE STE 120",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292475",
            "telephone_number": "404-228-8558",
            "fax_number": "404-228-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINA",
        "middle_name": "RODRIGUEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA LICENSE",
            "identifier": "14087060",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@meredithwhite.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "address_1": "1777 Northeast Expy NE Ste 120",
            "city": "Brookhaven",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303292475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Jenkins, RBT
• Xylina Jenkins
• Latonia A Jennings, LCSW, MA, EDS
• Jonathan Jerome, RBT
• Hei Tung Jim, DPT
• Danielle Johnson, RBT
• Kiana Johnson, RBT
• Krista Johnson, RBT
• Lauren Johnson
• Shaina Johnson

• Speech-Language Pathologist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.