Julie Anne Conley-Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005299 Issued in VA

Practice address

149 Jessica Dr
Penn Laird, VA 22846-2032

Phone

(540) 435-1955

NPI assigned

Jan 31, 2013

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1811236516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 JESSICA DR",
            "city": "PENN LAIRD",
            "state": "VA",
            "postal_code": "228462032",
            "telephone_number": "540-435-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 JESSICA DR",
            "city": "PENN LAIRD",
            "state": "VA",
            "postal_code": "228462032",
            "telephone_number": "540-435-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY-JOHNSON",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Family Care Clinic
• Jerri Alley, M.D.
• Douglas Timothy Brown, PH.D.
• Kathleen A Culbertson, AUD
• Dennis Carlos Da Ponte, D.C.
• Sarah Hudson, ATC
• Amy Elizabeth Kubler
• Rachel Michele Mack

• Speech-Language Pathologist in Penn Laird, VA
• Providers in Penn Laird, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.