Individual provider Active NPI

Katherine Johnson

  • Speech-Language Pathologist
  • Arkadelphia, AR
National Provider Identifier
1720600422
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
711 Clinton St Ste 201
Arkadelphia, AR 71923-5967
Phone
(870) 246-3077
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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 AR Primary

Addresses

Primary practice location

711 Clinton St Ste 201
Arkadelphia, AR 71923-5967

Mailing address

201 S Rogers Rd Apt 256
Hot Springs, AR 71913-6154
Phone (501) 318-8038

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508001156 AR Practitioner - Qualified Speech Language Pathologist 3577928993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Therapy LLC CurrentSince Apr 10, 2023 Accepting new patients
Dawson Educational Coop PastSince May 17, 2020 Accepting new patients

Locations

456 Brodrick St
Hot Springs National Park, AR 71901
Phone (501) 701-4207

4328 Central Ave
Ste M
Hot Springs National Park, AR 71913
Phone (501) 358-6535

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1720600422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ROGERS RD APT 256",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136154",
            "telephone_number": "501-318-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CLINTON ST STE 201",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235967",
            "telephone_number": "870-246-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "711 Clinton St Ste 201",
            "city": "Arkadelphia",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719235967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.