Amy Krystina Johnson-Spann, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008355 Issued in GA

Practice address

4591 Sagebrush CT
Snellville, GA 30039-2508

Phone

(205) 994-5022

NPI assigned

Jan 11, 2019

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)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Rightstart Therapy Service, Inc.

  • Speech-Language Pathologist
  • Snellville, GA
  • NPI 1053542092
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1689148751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 SAGEBRUSH CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392508",
            "telephone_number": "205-994-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 SAGEBRUSH CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392508",
            "telephone_number": "205-994-5022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Henry Clower Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785707",
            "country_code": "US",
            "telephone_number": "770-995-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-SPANN",
        "first_name": "AMY",
        "middle_name": "KRYSTINA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Amazon PC
• John E. West, M.D., P.C.
• Ambi Jaise John, RN
• Venice Gevernia Johnson Cotton
• Connie Johnson- Lofton
• Andrea Rhoads Johnson, P.T.
• Bree Johnson, PHLEBOTOMIST
• Brittany Nicole Johnson, LPC
• Casi Johnson
• Debra Ann Johnson, CNA

• Speech-Language Pathologist in Snellville, GA
• Providers in Snellville, 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 Jun 6, 2022; 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.