Jessica Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2020016723 Issued in MO

Practice address

2900 Scott St
Saint Joseph, MO 64507-1818

Phone

(816) 387-2986

NPI assigned

Jul 17, 2023

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

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1992484950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHIVEL AVE",
            "city": "GOWER",
            "state": "MO",
            "postal_code": "644548114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SCOTT ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645071818",
            "telephone_number": "816-387-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020016723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach John, ATC
• Amanda Johnson-Sollars, APRN
• Chaz Caleb Johnson, PT, DPT
• Diane Marie Johnson, MS, LPC, NCC
• Jacqueline Johnson
• Julia Rose Johnson, NP
• Larry Clinton Johnson, FNP
• Lundan Johnson, FNP
• Rebecca Lynn Johnson, ATC
• Robert Howard Johnson Jr., N.P.

• Speech-Language Pathologist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.