Shanon Hodges Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2480 Issued in MS

Practice address

12 Biltmore Turn
Hattiesburg, MS 39402-7038

Phone

(601) 467-0410

NPI assigned

Nov 8, 2012

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

State licenses

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1689928822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BILTMORE TURN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027038",
            "telephone_number": "601-467-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BILTMORE TURN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027038",
            "telephone_number": "601-467-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANON",
        "middle_name": "HODGES",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Johnson, MD
• John Alden Johnson III, M.D.
• John J Johnson, MD
• Karen Trenice Johnson, PHARMD
• Samuel Eric Johnson, DMD
• Skylarr Johnson, PCCSS
• Tatum Mayfield Johnson
• Tina Johnson, LCSW
• Wesley Johnson, DNP, CRNA
• Zackery Johnson

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.