KATIE JOHNSON NPI 1093113763

NPI Information

NPI: 1093113763
Provider Name: KATIE JOHNSON
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
4419 W PECAN ST
FAYETTEVILLE, AR
ZIP 72704
Phone: (870) 688-1308
Get Directions

Katie Johnson is a speech-language assistant specialist technologist in Fayetteville, AR. Katie Johnson NPI is 1093113763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4419 W PECAN ST
FAYETTEVILLE, AR
ZIP 72704-909
Phone: (870) 688-1308

The enumeration date for this NPI number is 12/12/2014 and was last updated on 12/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	235580801X	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	116141743	OTHER	ARKANSAS	OUR COOP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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