Individual provider Active NPI

Nancy C Johnston, MS, CCC-SLP

  • Speech-Language Pathologist
  • Longwood, FL
National Provider Identifier
1689698458
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5296 Issued in FL
Practice address
455 W Warren Ave
Suite 200
Longwood, FL 32750-4002
Phone
(407) 260-0551
Fax
(407) 265-9590
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA5296 FL Primary

Addresses

Primary practice location

455 W Warren Ave
Suite 200
Longwood, FL 32750-4002

Mailing address

455 W Warren Ave
Suite 200
Longwood, FL 32750-4002
Phone (407) 260-0551

Other identifiers 1

IdentifierTypeStateIssuer
885268500MedicaidFL

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 Science

State licenses

LicenseStateTypeSpecialty
SA5296FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapy Solutions Speech-Language Pathologist Current Accepting new patients

Locations

455 W Warren Ave
Ste 200
Longwood, FL 32750
Phone (407) 260-0551

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1689698458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W WARREN AVE",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504002",
            "telephone_number": "407-260-0551",
            "fax_number": "407-265-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W WARREN AVE",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504002",
            "telephone_number": "407-260-0551",
            "fax_number": "407-265-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885268500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.