Active NPI
Abby Michele Johnson, MS, CFY-SLP
- Speech-Language Pathologist
- Atlantic, IA
National Provider Identifier
1902263965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 095620
- Practice address
- 1501 E 10TH St
Atlantic, IA 50022-1936 - Phone
- (712) 249-5103
- NPI assigned
- Jan 21, 2016
- Last updated
- Jun 5, 2019
- 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 | 095620 | IA | Primary |
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
1501 E 10TH St
Atlantic, IA 50022-1936
Mailing address
1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 249-5103
Other practice location 1
9012 Q St
Omaha, NE 68127-3549
Phone (402) 315-1000 ext. 172
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 |
|---|---|---|---|
| 095620 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1902263965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E 10TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221936",
"telephone_number": "712-249-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 10TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221936",
"telephone_number": "712-249-5103"
}
],
"practiceLocations": [
{
"address_1": "9012 Q St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681273549",
"country_code": "US",
"telephone_number": "402-315-1000 x172",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ABBY",
"middle_name": "MICHELE",
"credential": "MS, CFY-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "095620",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.