Mae Y John, MS CF SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Navajo Route 12
Window Rock Unified School District #8
Ft Defiance, AZ 86504

Phone

(928) 729-6754

Fax

(928) 729-7630

NPI assigned

Sep 28, 2007

Last updated

Oct 15, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1881881365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "address_2": "WRUSD NO 8 SPECIAL EDUCATION DEPARTMENT",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-6755",
            "fax_number": "928-729-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAJO ROUTE 12",
            "address_2": "WINDOW ROCK UNIFIED SCHOOL DISTRICT #8",
            "city": "FT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-6754",
            "fax_number": "928-729-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "MAE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "MS CF SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH SERVICES",
            "identifier": "SLPL4682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Jarrin, MD
• Michael R. Jarvis, D.O.
• Malcolm Jewell, PA-C
• Roanne Jimenez
• Kendall Rae John
• Illya Johnson-Hicklen, RCP
• Roberta S. Johnson-Seay, ARNP-C
• Berdie E Johnson, BSW
• Joshenia Lizette Johnson, RCP
• Michael Lee Johnson Jr., D.P.M.

• Speech-Language Pathologist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.