Active NPI
Carli Prudhomme Johnson, M.S., CCC-SLP
- Speech-Language Pathologist
- Olla, LA
National Provider Identifier
1689358533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9321
- Practice address
- 1921 Johnson Rd
Olla, LA 71465-9762 - Phone
- (318) 312-0900
- NPI assigned
- Jun 12, 2023
- 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 | 9321 | LA | Primary |
Addresses
Primary practice location
1921 Johnson Rd
Olla, LA 71465-9762
Mailing address
1921 Johnson Rd
Olla, LA 71465-9762
Phone (318) 312-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7720 Hwy 165
Suite 1
Columbia, LA 71418-5348
Phone (318) 936-2004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warner Therapy Services | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7720 Highway 165
Ste 1
Columbia, LA 71418
Phone (318) 936-2004
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": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1689358533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 JOHNSON RD",
"city": "OLLA",
"state": "LA",
"postal_code": "714659762",
"telephone_number": "318-312-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 JOHNSON RD",
"city": "OLLA",
"state": "LA",
"postal_code": "714659762",
"telephone_number": "318-312-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARLI",
"middle_name": "PRUDHOMME",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "9321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olla, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.