Carissa Johnson, M.S., C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7318 Issued in FL

Practice address

5207 Granite Ridge Dr
Lithia, FL 33547-1845

Phone

(813) 220-2730

NPI assigned

Oct 11, 2006

Last updated

Oct 3, 2022By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Play on Words Therapy Solutions

  • Speech-Language Pathologist
  • Lithia, FL
  • NPI 1942913447
  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1952499212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 GRANITE RIDGE DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335471845",
            "telephone_number": "813-220-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 GRANITE RIDGE DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335471845",
            "telephone_number": "813-220-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARISSA",
        "name_prefix": "Mrs.",
        "credential": "M.S., C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7318",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA #",
            "identifier": "S2755",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812018800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889202400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam F Jester, MD
• Sindhu John
• Elizabeth Johnsey
• Emily Jane Johnson-Day, DO
• Brittney Johnson
• Joel Johnson, FNP-C
• Lyllie Christine MC Bride Johnson, MS, LAT, ATC
• Marc Roy Johnson, DMD
• Morgan Johnson, FNP-C
• Riley Johnson

• Speech-Language Pathologist in Lithia, FL
• Providers in Lithia, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.