Individual provider Active NPI

Julia K Johnson, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Holmen, WI
National Provider Identifier
1770639890
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1484-154 Issued in WI
Practice address
106 S Holmen Dr
Suite 2
Holmen, WI 54636-9467
Phone
(608) 526-9888
Fax
(608) 526-9965
NPI assigned
Jan 25, 2007
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 1484-154 WI Primary

Addresses

Primary practice location

106 S Holmen Dr
Suite 2
Holmen, WI 54636-9467

Mailing address

115 11TH St S
La Crosse, WI 54601-4142
Phone (608) 738-5028

Other identifiers 1

IdentifierTypeStateIssuer
1484-154OtherWISLP LICENSE

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1484-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Therapy Solutions Current Accepting new patients

Locations

106 S Holmen Dr
Ste 2
Holmen, WI 54636
Phone (608) 526-6888

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, 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1770639890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 11TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014142",
            "telephone_number": "608-738-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR",
            "address_2": "SUITE 2",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369467",
            "telephone_number": "608-526-9888",
            "fax_number": "608-526-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIA",
        "middle_name": "K",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1484-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "1484-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.