Stephanie Marie Johnson, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000349 Issued in MI

Practice address

5103 W Pierson Rd
Suite #3
Flint, MI 48504-1395

Phone

(810) 423-1076

Fax

(810) 391-2968

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• RSH Wellness, LLC

  • Primary Care Clinic/Center
  • Flint, MI
  • NPI 1568110211
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1689076390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 MOCERI LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394369",
            "telephone_number": "810-423-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 W PIERSON RD",
            "address_2": "SUITE #3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041395",
            "telephone_number": "810-423-1076",
            "fax_number": "810-391-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rrianna Johnson
• Shaina Johnson
• Shanika Renae Johnson, BS
• Shena Johnson
• Stephanie Johnson
• Tiara Johnson
• Tonette Marchelle Johnson, LLMSW
• Toniya Myangel Johnson
• Tonlia Johnson
• Trenell Johnson

• Speech-Language Pathologist in Flint, MI
• Providers in Flint, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.