Active NPI
Monique Johnson, SLP
- Speech-Language Pathologist
- Norton Shores, MI
National Provider Identifier
1669608808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP8976
- Practice address
- 945 E Sherman Blvd
Norton Shores, MI 49444-1805 - Phone
- (231) 737-4374
- Fax
- (231) 830-9196
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP8976 | OH | Primary |
Addresses
Primary practice location
945 E Sherman Blvd
Norton Shores, MI 49444-1805
Mailing address
945 E Sherman Blvd
Norton Shores, MI 49444-1805
Phone (231) 737-4374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP8976 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1669608808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 E SHERMAN BLVD",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494441805",
"telephone_number": "231-737-4374",
"fax_number": "231-830-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 E SHERMAN BLVD",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494441805",
"telephone_number": "231-737-4374",
"fax_number": "231-830-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONIQUE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP8976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.