CARLEY RENEE JOHNSON (NPI# 1295065654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295065654 |
| Entity Type | Individual |
| Full Name | CARLEY RENEE JOHNSON |
| Credential | SLP |
| Practice Address |
6701 Fortuna Rd Nw West Mesa Hs Albuquerque NM 87121-1306 |
| Practice Telephone | 5058316993 |
| Mailing Telephone | 5058316993 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | C 4602 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NONE ASSIGNED | 05 |
| Street Address |
6701 FORTUNA RD NW WEST MESA HS |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952439457 | Daphina Jody Antal | Social Worker | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2007-02-28 |
| 1952957136 | Celina Padilla | Social Worker | 6701 Fortuna Rd Nw, Albuquerque, NM 87121-1306 | 2019-08-14 |
| 1134600042 | Tamara Owen | Social Worker | 6701 Fortuna Rd Nw, Albuquerque, NM 87121-1306 | 2018-08-28 |
| 1538468913 | Erin Elizabeth Hoagstrom | Speech-Language Pathologist | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2011-03-24 |
| 1568618965 | Marian Jane Niese | Speech-Language Pathologist | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2008-08-18 |
| 1891964938 | Margaret Ann Pettus | Speech-Language Pathologist | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2008-02-22 |
| 1871717314 | Marsha Bankston | Social Worker | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2007-04-13 |
| 1578693057 | Patrick Welch | Social Worker | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2007-03-06 |
| 1275662850 | Margaret Schwarz | Social Worker | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2007-03-02 |
| 1619005543 | Rita Garcia | Social Worker | 6701 Fortuna Rd Nw, West Mesa Hs, Albuquerque, NM 87121-1306 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| 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 |
|---|---|---|---|---|
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1083245427 | Jacquelyn Garcia | Speech-Language Pathologist | 1127 Univ Blvd Ne, Albuquerque, NM 87102-1740 | 2020-02-03 |
| 1346882842 | Amy Taylor Neel | Speech-Language Pathologist | Msc01 1195 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-10-16 |
| 1770141590 | Valentina Hardison | Speech-Language Pathologist | 5924 Anaheim Ave Ne Ste B, Albuquerque, NM 87113-1879 | 2019-06-05 |
| 1629530506 | Hyuna Kim | Speech-Language Pathologist | 1839 Kelso Ct Se, Albuquerque, NM 87123-2291 | 2019-04-01 |
| 1588135586 | Holly E Stewart | Speech-Language Pathologist | 10321 Oakland Ave Ne, Albuquerque, NM 87122-3931 | 2018-12-17 |
| 1376038588 | Maja Erika Whitaker | Speech-Language Pathologist | 9600 Peralta Rd Ne, Albuquerque, NM 87109-6360 | 2018-06-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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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.