Individual provider Active NPI

James Daniel Johnson, M.S. CF-SLP

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1912422767
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2201 N 50TH St
Fort Smith, AR 72904-5719
Phone
(479) 785-2451
NPI assigned
Aug 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

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

Addresses

Primary practice location

2201 N 50TH St
Fort Smith, AR 72904-5719

Mailing address

602 Amy Cir
Bryant, AR 72022-4117
Phone (501) 804-0658

Other practice location 1

2301 N B St
Fort Smith, AR 72901-3433
Phone (479) 783-1171

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

NPI Registry JSON

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912422767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 AMY CIR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720224117",
            "telephone_number": "501-804-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N 50TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729045719",
            "telephone_number": "479-785-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 N B St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729013433",
            "country_code": "US",
            "telephone_number": "479-783-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.