KERRY JOHNSON (NPI# 1063867869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063867869 |
| Entity Type | Individual |
| Full Name | KERRY JOHNSON |
| Practice Address |
853 Parkridge Drive Media PA 19063 |
| Practice Telephone | 6107425291 |
| Mailing Telephone | 6107425291 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 41YS00793600 | NJ | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SL012308 | PA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578803763 | Kerry Cammilla Johnson | Counselor | 500 E Woodrow Wilson Ave Ste M, Jackson, MS 39216-4538 | 2013-02-25 |
| 1902065899 | Kerry K Johnson | Dentist | 8649 Barker Cypress Rd Unit A, Cypress, TX 77433-5337 | 2008-06-05 |
| 1013079060 | Kerry Alan Johnson | Dentist | 3244 Harrisburg Pike, Landisville, PA 17538-1316 | 2006-12-15 |
| 1750490405 | Kerry Wayne Johnson | Obstetrics & Gynecology | 910 Hwy 3 West, Normangee, TX 77871 | 2006-08-29 |
| 1841890761 | Kerry Johnson | Genetic Counselor, MS | 777 N Broadway, Sleepy Hollow, NY 10591-1000 | 2020-10-29 |
| 1316559131 | Kerry Rose Johnson | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-21 |
| 1558665414 | Kerry Lynn Johnson | Physician Assistant | 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1935 | 2011-01-06 |
| 1376671099 | Kerry Jean Johnson | Counselor | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2007-03-02 |
| 1740316777 | Kerry Johnson | Physical Therapist | 201 E Huron St Ste 9-105, Chicago, IL 60611-2980 | 2007-02-26 |
| 1578640694 | Kerry Lee Johnson | Chiropractor | 14859 Energy Way, Apple Valley, MN 55124-5763 | 2006-11-01 |
| Street Address |
853 PARKRIDGE DRIVE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003452194 | Michelle Rose Baldwin | Speech-Language Pathologist | 11 S Olive St, Media, PA 19063-3317 | 2019-11-23 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1851810469 | Emily Nicole Miller | Speech-Language Pathologist | 600 N Jackson St Ste 203a, Media, PA 19063-2574 | 2017-09-14 |
| 1265973176 | Jennifer Deutsch | Speech-Language Pathologist | 1982 Kimberwick Rd, Media, PA 19063-1974 | 2017-03-10 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1750779468 | Gina Kokoska | Speech-Language Pathologist | 65 Letitia Ln, Media, PA 19063-4019 | 2015-01-03 |
| 1861805053 | Elizabeth Anne Haftl | Speech-Language Pathologist | 475 Linden Ln Apt 10, Media, PA 19063-3637 | 2014-06-05 |
| 1558640029 | Kara E Kyle | Speech-Language Pathologist | 9 E State St, Fl 2, Media, PA 19063-2917 | 2011-08-15 |
| 1700191699 | Sarah Pettit | Speech-Language Pathologist | 309 Valley View Rd, Media, PA 19063-1342 | 2010-08-16 |
| 1134354681 | Michael John Meehan | Speech-Language Pathologist | 205 Martins Ln, Media, PA 19063-5854 | 2009-05-27 |
| Find all providers in MEDIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.