Tishunda Dorice Johnson, M.S., CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5222 Issued in FL

Practice address

1801 S 23Rd St Suite 2
Fort Pierce, FL 34950-4830

Phone

(772) 464-3303

Fax

(772) 464-3305

NPI assigned

Feb 28, 2007

Last updated

Oct 24, 2024By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• A Plus Speech Therapy Professionals, Inc.

  • Speech-Language Pathologist
  • Fort Pierce, FL
  • NPI 1154592335
  NPD
• A Plus Speech Therapy Professionals, Inc.

  dba A Plus Therapy Pros

  • Early Intervention Provider Agency
  • Fort Pierce, FL
  • NPI 1851963904
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1881721314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 23RD ST SUITE 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-464-3303",
            "fax_number": "772-464-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 23RD ST SUITE 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504830",
            "telephone_number": "772-464-3303",
            "fax_number": "772-464-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TISHUNDA",
        "middle_name": "DORICE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-10-24",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014022400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885794600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laqunda Johnson
• Moses Johnson, DDS
• Octavia Samteshia Johnson, CNA
• Rashandia Johnson, BA
• Stacy S Johnson, MSW
• Jay Hunter Johnston, PA-C
• Roxxann Johnston
• Linda S Jolly, WSC
• Charsea Jones-Singletary
• Antonio Marquel Jones, LMHC

• Speech-Language Pathologist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.