Mary Hannah Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-3953 Issued in NV

Practice address

6363 S Pecos Rd Ste 103
Las Vegas, NV 89120-6291

Phone

(702) 565-5011

Fax

(702) 565-5012

NPI assigned

Aug 16, 2024

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.

• Thrive Therapies LLC

  • Pediatric Occupational Therapist
  • Las Vegas, NV
  • NPI 1760842876

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1821820937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 S PECOS RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206291",
            "telephone_number": "702-565-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 S PECOS RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206291",
            "telephone_number": "702-565-5011",
            "fax_number": "702-565-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "HANNAH",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquita Johnson
• Marshell Johnson
• Martha Ann Johnson
• Mary Johnson
• Mary Johnson
• McKeela Johnson
• Meami Johnson, LPN
• Mechelle Johnson
• Megan Johnson
• Megan Johnson, RN

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.