Active NPI
Whitney Renee Johnson, MS, CCC-SLP
- Speech-Language Pathologist
- Madison, IN
National Provider Identifier
1891194452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22006504A
- Practice address
- 2420 Wilson Ave
Madison, IN 47250-2135 - Phone
- (812) 265-8226
- NPI assigned
- Aug 20, 2014
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46002661A | IN | |
| Speech-Language Pathologist | 235Z00000X | 22006504A | IN | Primary |
Addresses
Primary practice location
2420 Wilson Ave
Madison, IN 47250-2135
Mailing address
3801 W Deer Bend Dr
Hanover, IN 47243-9099
Other practice location 1
1176 N Main St
Franklin, IN 46131-1251
Phone (812) 314-2982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006504A | IN | MD | Speech-Language Pathologist |
| 46002661A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients |
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.
-
dba KORT Kids -Madison
- Physical Therapy Clinic/Center
- Madison, IN
- NPI 1639899727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1891194452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 W DEER BEND DR",
"city": "HANOVER",
"state": "IN",
"postal_code": "472439099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 WILSON AVE",
"city": "MADISON",
"state": "IN",
"postal_code": "472502135",
"telephone_number": "812-265-8226"
}
],
"practiceLocations": [
{
"address_1": "1176 N Main St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "IN",
"postal_code": "461311251",
"country_code": "US",
"telephone_number": "812-314-2982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "WHITNEY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002661A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006504A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.