Melissa Sue Johnson, BASLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI 1269 Issued in FL

Practice address

4 Jackson Street NE
Ft Walton Beach, FL 32578

Phone

(850) 862-7227

Fax

(850) 862-2421

NPI assigned

Oct 17, 2006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Hands Little Feet, LLC

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1477563138
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811078900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 GARDEN OAKS COVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-862-7227",
            "fax_number": "850-862-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JACKSON STREET NE",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-862-7227",
            "fax_number": "850-862-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "BASLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Timothy Johnson, PA-C
• Jaime Michelle Johnson, LPN
• Katrina R Johnson, M.S., CCC-SLP
• Kiera Johnson
• Matthew S Johnson, MD
• Michael Andrew Johnson, PA-C
• Ronald F Johnson, MD
• Shaelyn La'Brea Johnson
• Traci Johnson, PTA
• Emmalyn Claire Johnston

• Speech-Language Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.