Mary Claire Johnston, SLPA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

73430 Issued in TX

Practice address

404 Racquet Club Blvd
Bedford, TX 76022-6408

Phone

(682) 738-3056

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Small Hands Big Hearts Pediatric Therapy Management Inc

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1992012660
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1952826166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761106623",
            "telephone_number": "940-782-0867",
            "fax_number": "940-782-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RACQUET CLUB BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226408",
            "telephone_number": "682-738-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "name_prefix": "Miss",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "73430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doyle Johnson
• Grant D. Johnson, D.D.S., M.S.
• Latasha Johnson, MASSAGE THERAPIST
• Mariana Murguia Johnson, M.D.
• Shannon Johnson, M.D.
• Joiyen Medical, PLLC
• Joiyen Medical, PLLC
• Albina Joldoshova, MD
• Rodwan Jomaa, DO
• Catherine S Jones, PHD, RN, ANP-C

• Speech-Language Pathologist in Bedford, TX
• Providers in Bedford, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.