MISS AUDREA JENEZ JOHNSON (NPI# 1104395987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104395987 |
| Entity Type | Individual |
| Full Name | MISS AUDREA JENEZ JOHNSON |
| Credential | SLPA #3261 |
| Practice Address |
861 Auto Center Dr #d Palmdale CA 73551 |
| Practice Telephone | 6619457878 |
| Practice Fax Number | 6619457553 |
| Mailing Telephone | 6619457878 |
| Mailing Fax Number | 6619457553 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
3261 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417249178 | Audrea Youngman Johnson | Psychologist | 9015 Mountain Ridge Dr, Houston Bldg. Ste 200, Austin, TX 78759-7370 | 2011-05-12 |
| Street Address |
861 AUTO CENTER DR #D |
| City | PALMDALE |
| State | CA |
| Zip Code | 73551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033315700 | Hathaway-sycamores Child & Family Services | Registered Nurse | 861 Auto Center Dr, Palmdale, CA 93551-4493 | 2007-06-21 |
| 1982116422 | Katrina Marie Scalzi | Occupational Therapist | 861 Auto Center Dr, #d, Palmdale, CA 93551 | 2017-10-24 |
| 1912421595 | Colleen Reaback | Physical Therapy Assistant | 861 Auto Center Dr, #d, Palmdale, CA 93551 | 2017-07-26 |
| 1891231429 | Ariana Garrido | Specialist/Technologist | 861 Auto Center Dr, # D, Palmdale, CA 93551 | 2017-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1447858113 | Pure Devotion LLC | Home Health | 190 Sierra Ct Ste B204, Palmdale, CA 93550-7615 | 2020-10-14 |
| 1154929495 | Edris Y Holland | Registered Nurse | 41405 Sequoia Ave, Palmdale, CA 93551-1912 | 2020-10-09 |
| 1417554726 | Pink Coral Residence II | Assisted Living Facility | 40343 15th St W, Palmdale, CA 93551-3128 | 2020-10-08 |
| 1245847573 | Linda Lotive Chowa | Registered Nurse | 3713 Tournament Dr, Palmdale, CA 93551-5638 | 2020-09-30 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| 1871109074 | Jeanette Reene Martin | Licensed Vocational Nurse | 38510 92nd St E, Palmdale, CA 93591-2230 | 2020-09-22 |
| 1508471657 | Helen Joann Pacheco | Massage Therapist | 37713 Del Mar St, Palmdale, CA 93552-3990 | 2020-09-14 |
| Find all providers in PALMDALE | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790142453 | Amy Reed | Specialist/Technologist | 650 Commerce Ave Ste D, Palmdale, CA 93551-3884 | 2016-01-25 |
| 1821608043 | Elizabeth Buss | Specialist/Technologist | 190 Sierra Ct Ste B6, Palmdale, CA 93550-7608 | 2020-08-03 |
| 1174173736 | Natalie Dagher | Specialist/Technologist | 190 Sierra Ct Ste B6, Palmdale, CA 93550-7608 | 2019-09-16 |
| 1053970657 | Amber Lewis | Specialist/Technologist | 190 Sierra Ct Ste B6, Palmdale, CA 93550-7608 | 2019-06-07 |
| 1871064519 | Rachel Grace Scarbury | Specialist/Technologist | 190 Sierra Ct Ste B6, Palmdale, CA 93550-7608 | 2018-12-06 |
| 1952871865 | Mayra Selene Martinez | Specialist/Technologist | 190 Sierra Ct Ste B6, Palmdale, CA 93550-7608 | 2018-12-04 |
| 1043749161 | Kaitlynn Ueno | Specialist/Technologist | 190 Sierra Ct Ste B6, Palmdale, CA 93550-7608 | 2017-06-12 |
| 1801336581 | Megan Aguas Moore | Specialist/Technologist | 861 Auto Center Dr., #0, Palmdale, CA 93551 | 2017-03-01 |
| 1457715989 | Tabitha Anita Seymour | Specialist/Technologist | 861 Auto Center Dr., #d, Palmdale, CA 93551 | 2016-04-11 |
| 1619316205 | Cheryl Saenz | Specialist/Technologist | 861 Auto Center Dr., #d, Palmdale, CA 93551 | 2013-06-18 |
| Find all providers in PALMDALE | ||||
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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.