MICHELE JEAN JOHNSON (NPI# 1275079089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275079089 |
| Entity Type | Individual |
| Full Name | MICHELE JEAN JOHNSON |
| Credential | MA, CCC-SLP |
| Practice Address |
3211 Clairbridge Dr Bloomington IL 61704-9474 |
| Practice Telephone | 3096552381 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.007653 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048007 | Michele Johnson | Massage Therapist | 148 Elmwood Ave, Roosevelt, NY 11575-1808 | 2020-03-22 |
| 1669985560 | Michele Johnson | Behavior Technician | 5902 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1528 | 2017-11-14 |
| 1205360088 | Michele Dawn Johnson | Dental Hygienist | 520 Greenwood Ave., Blue Lake, CA 95525-0903 | 2017-04-18 |
| 1013349133 | Michele Teresa Johnson | Nurse's Aide | 27000 Zeman Ave., Euclid, OH 44132-0425 | 2013-07-31 |
| 1487973921 | Michele Karen Johnson | Occupational Therapist | 30 Bruce St, Duluth, MN 55803-2501 | 2010-05-24 |
| 1578896098 | Michele M Johnson | Specialist | 1477 S Knowles Ave, S 103, New Richmond, WI 54017-2529 | 2009-09-16 |
| 1649406604 | Michele Elizabeth Johnson | Counselor | 5422 First Coast Hwy, Ste 119, Amelia Island, FL 32034-5423 | 2009-06-04 |
| 1275625485 | Michele Johnson | Nurse Practitioner | 916 Rice St, Saint Paul, MN 55117-5425 | 2006-09-28 |
| 1346208287 | Michele L Johnson | Physician Assistant | 1430 Terrace Dr, Tulsa, OK 74104 | 2006-05-02 |
| 1437131737 | Michele Pitts Johnson | Obstetrics & Gynecology | 1149 Ambler Ave, Abilene, TX 79601-2309 | 2005-11-14 |
| Street Address |
3211 CLAIRBRIDGE DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-9474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1013542067 | Kathleen T Schlais | Speech-Language Pathologist | 605 Bradley Dr Apt C, Bloomington, IL 61701-2244 | 2020-03-10 |
| 1134789936 | Sara Jean Farmer | Speech-Language Pathologist | 2001 S Morris Ave Apt 5, Bloomington, IL 61704-7513 | 2019-06-14 |
| 1538638614 | Erin Elizabeth Gratzer | Speech-Language Pathologist | 963 S State Road 446, Bloomington, IN 47401-8813 | 2018-11-18 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1336620087 | Alycia Leane Carroll | Speech-Language Pathologist | 1605 E Oakland Ave, Bloomington, IL 61701-5617 | 2018-08-21 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1386198778 | Nicole Marie Hartke | Speech-Language Pathologist | 3122 Rudder Ln Apt 105, Bloomington, IL 61704-8203 | 2016-08-15 |
| 1912385394 | Melissa Velazquez | Speech-Language Pathologist | 618 S Bobcat Bnd, Bloomington, IN 47403-8011 | 2015-05-18 |
| 1124410907 | Marie Houghton | Speech-Language Pathologist | 16 Cashel Dr, Bloomington, IL 61704-4134 | 2015-03-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.