Individual provider Active NPI

Paula Johnson, MS-SLP

  • Speech-Language Pathologist
  • Red Oak, TX
National Provider Identifier
1881390094
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120757 Issued in TX
Practice address
101 Live Oak Dr
Red Oak, TX 75154-6200
Phone
(972) 617-2941
NPI assigned
Jan 31, 2023
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 120757 TX Primary

Addresses

Primary practice location

101 Live Oak Dr
Red Oak, TX 75154-6200

Mailing address

101 Live Oak Dr
Red Oak, TX 75154-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526002510 TX Practitioner - Qualified Speech Language Pathologist 2062879596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43009TXMDPharmacist
120757TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hona Medical Group PA Speech-Language Pathologist CurrentSince Jul 31, 2025 Accepting new patients

Locations

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1881390094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVE OAK DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751546200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVE OAK DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751546200",
            "telephone_number": "972-617-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAULA",
        "credential": "MS-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.