Active NPI
Gina Christine Johnson, M.ED., CCC-SLP
- Speech-Language Pathologist
- Fort Smith, AR
National Provider Identifier
1679740658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 709
- Practice address
- 1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939 - Phone
- (479) 222-1924
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 709 | AR | Primary |
Addresses
Primary practice location
1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939
Mailing address
1813 South 70TH Street
Fort Smith, AR 72903
Phone (479) 452-5013
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy Center | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1821 Phoenix Ave
Ste A
Fort Smith, AR 72901
Phone (479) 222-1924
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1679740658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 SOUTH 70TH STREET",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "72903",
"telephone_number": "479-452-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 PHOENIX AVE STE A",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729017939",
"telephone_number": "479-222-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GINA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.