Individual provider Active NPI

Porsche Nicole Johnson

  • Speech-Language Pathologist
  • Junction City, KS
National Provider Identifier
1902540412
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4115 Issued in KS
Practice address
101 N Washington St
Junction City, KS 66441-2906
Phone
(785) 762-3350
Fax
(785) 762-3920
NPI assigned
Apr 21, 2022
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 4115 KS Primary

Addresses

Primary practice location

101 N Washington St
Junction City, KS 66441-2906

Mailing address

2812 W 12TH Ave
Emporia, KS 66801-6202
Phone (620) 208-7878

Other practice location 1

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Other names 1

  • Porsche Nicole Blunt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630003611 KS Practitioner - Qualified Speech Language Pathologist 8820501109 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4115KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stormont Vail Health Flint Hills LLC CurrentSince Aug 1, 2025 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Aug 1, 2025 Accepting new patients
Hoover, Bachman & Associates, Inc CurrentSince Jun 9, 2025 Accepting new patients

Locations

2812 W 12th Ave
Emporia, KS 66801
Phone (620) 208-7869

101 N Washington St
Junction City, KS 66441
Phone (785) 762-3350

104 S Washington St
Junction City, KS 66441
Phone (785) 238-3747

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Organizations & group practices 3

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1902540412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016202",
            "telephone_number": "620-208-7878",
            "fax_number": "620-208-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WASHINGTON ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664412906",
            "telephone_number": "785-762-3350",
            "fax_number": "785-762-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PORSCHE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORSCHE",
            "last_name": "BLUNT",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.