Jessica Marie Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8273 Issued in SC

Practice address

140 Brookdale Acres Dr
Lyman, SC 29365-9793

Phone

(980) 255-0200

NPI assigned

Oct 20, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• As We Speech Therapy Services

  • Speech-Language Pathologist
  • Lyman, SC
  • NPI 1851177703
  NPD Authorized official

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1780466987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BROOKDALE ACRES DR",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659793",
            "telephone_number": "980-255-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BROOKDALE ACRES DR",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659793",
            "telephone_number": "980-255-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Higher Love Chiropractic & Healing Center
• Frederick Lee Hill, C.P.T. LEVEL II (DIA
• Hill'S Helping Hands Homecare
• Emily Marie Hindman, MMFT, LMFT
• Kirk Edward Houston, DMD PA
• Caron Jones, MMFT, LMFT-I
• Stephanie Diane Karback, DMD
• Karen Kelly
• Tessa D Kingsland, FNP
• Kirk E Houston DMD PA

• All providers in Lyman, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.