Active NPI
Rose M Johnson, M.S., CCC/SLP
- Speech-Language Pathologist
- Hamilton, MT
National Provider Identifier
1962601419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 651
- Practice address
- 121 Woodland Way
Hamilton, MT 59840-9346 - Phone
- (406) 363-1164
- NPI assigned
- Jul 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 651 | MT | Primary |
Addresses
Primary practice location
121 Woodland Way
Hamilton, MT 59840-9346
Mailing address
121 Woodland Way
Hamilton, MT 59840-9346
Phone (406) 363-1164
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 |
|---|---|---|---|
| 651 | MT | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184457600000",
"number": "1962601419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WOODLAND WAY",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598409346",
"telephone_number": "406-363-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WOODLAND WAY",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598409346",
"telephone_number": "406-363-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROSE",
"middle_name": "M",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-15",
"last_updated": "2007-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.