Individual provider Active NPI

Sheridan Hope Johnson, MS CCC SLP

  • Speech-Language Pathologist
  • Bowling Green, KY
National Provider Identifier
1790590032
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
292054 Issued in KY
Practice address
952 Fairview Ave Ste 4
Bowling Green, KY 42101-4943
Phone
(270) 938-0101
Fax
(855) 932-2045
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 292054 KY Primary

Addresses

Primary practice location

952 Fairview Ave Ste 4
Bowling Green, KY 42101-4943

Mailing address

952 Fairview Ave Ste 4
Bowling Green, KY 42101-4943
Phone (270) 938-0101

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
292054KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Reading Company LLC Speech-Language Pathologist CurrentSince Feb 23, 2025 Accepting new patients

Locations

952 Fairview Ave
Ste 4
Bowling Green, KY 42101
Phone (270) 938-0101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1790590032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 FAIRVIEW AVE STE 4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014943",
            "telephone_number": "270-938-0101",
            "fax_number": "855-932-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 FAIRVIEW AVE STE 4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014943",
            "telephone_number": "270-938-0101",
            "fax_number": "855-932-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHERIDAN",
        "middle_name": "HOPE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "292054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.