Johna Serenity Harrington, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2015033632 Issued in MO

Practice address

2800 W Garton Rd
Ozark, MO 65721-9024

Phone

(417) 667-1152

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Johna Serenity Vandyke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1881197838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W GARTON RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219024",
            "telephone_number": "417-667-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W GARTON RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219024",
            "telephone_number": "417-667-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "JOHNA",
        "middle_name": "SERENITY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00934200",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2015033632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNA",
            "last_name": "VANDYKE",
            "middle_name": "SERENITY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Doncella Haley, DDS
• Sarah Catherine Hampel, MOTR/L
• Matthew Hansen, OD
• Emma Marie Haptonstall
• Peggy A Harpster, LPC
• Vickie K Hartness, OTR
• Doreen Hasner
• Haven Home Health LLC
• Haven Home Health, LLC
• Haven Home Health, LLC

• Speech-Language Pathologist in Ozark, MO
• Providers in Ozark, MO by specialty
• Speech-Language Pathologist in Missouri

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