Linda W Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

000793 Issued in NY

Practice address

209 Clayton Ave
Vestal, NY 13850-2458

Phone

(607) 757-2271

Fax

(607) 757-2372

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1689983439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FREDERICK DR",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324130",
            "telephone_number": "607-625-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CLAYTON AVE",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502458",
            "telephone_number": "607-757-2271",
            "fax_number": "607-757-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Jerauld, PHARMD
• Jill Van Pelt LCSW PLLC
• John Todd Mansfield Physical Therapy, PC (Southern Tier Physical Therapy)
• Mary John, M.D.
• Julia Mae Johnson, LMHC
• Tara Joy Johnson, LMSW
• Tiffany Ann Johnson, OT
• Rosemarie Ann Jones, PMHNP
• Joseph M Newmark MD PC
• Julia Johnson Mental Health Counseling PLLC

• Speech-Language Pathologist in Vestal, NY
• Providers in Vestal, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.