Jill K Johnston, MS-CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107298 Issued in TX

Practice address

3472 N Sandpiper Dr
Fayetteville, AR 72704

Phone

(479) 442-6249

Fax

(479) 750-3539

NPI assigned

Feb 17, 2010

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

Other identifiers 1

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1841512944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MYSTIC RIVER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314556",
            "telephone_number": "479-799-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 N SANDPIPER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72704",
            "telephone_number": "479-442-6249",
            "fax_number": "479-750-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JILL",
        "middle_name": "K",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841512944",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen P Johnson, MD
• Taylor Amelia Johnson, LAC
• Taylor L Johnson, OTRL
• Todd Johnson
• William E Johnson, PH.D.
• Thomas William Johnstone
• Joshua Seth Jolley, DPT
• Amber Jones, RN
• Anna Jones, MED, LPC, LMFT
• Anna Katherine Jones, RD

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.