Active NPI
Shelby Kay Johnston, SLPA
- Speech-Language Assistant
- Fort Smith, AR
National Provider Identifier
1982291159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 1501 S Waldron Rd Ste 107
Fort Smith, AR 72903-2568 - Phone
- (479) 226-3409
- NPI assigned
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
1501 S Waldron Rd Ste 107
Fort Smith, AR 72903-2568
Mailing address
4300 Rogers Ave Ste 20
Fort Smith, AR 72903-3152
Phone (479) 226-3409
Other practice location 1
1029 E Washington Ave
McAlester, OK 74501-4849
Phone (918) 423-2220
Other practice location 2
406 Mallard Dr
Muldrow, OK 74948-3701
Phone (701) 317-3026
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ergonomic Consultants, LLC | Current | Accepting new patients |
Locations
1029 E Washington Ave
McAlester, OK 74501
Phone (918) 423-2220
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- McAlester, OK
- NPI 1922039882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1982291159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 ROGERS AVE STE 20",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033152",
"telephone_number": "479-226-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S WALDRON RD STE 107",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032568",
"telephone_number": "479-226-3409"
}
],
"practiceLocations": [
{
"address_1": "1029 E Washington Ave",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745014849",
"country_code": "US",
"telephone_number": "918-423-2220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 Mallard Dr",
"address_purpose": "LOCATION",
"city": "Muldrow",
"state": "OK",
"postal_code": "749483701",
"country_code": "US",
"telephone_number": "701-317-3026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "SHELBY",
"middle_name": "KAY",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"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 Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.