SHAMIQUA JOHNSON (NPI# 1447623756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447623756 |
| Entity Type | Individual |
| Full Name | SHAMIQUA JOHNSON |
| Credential | SLP |
| Practice Address |
290 Highway 314 Suite B Fayetteville GA 30214-7813 |
| Mailing Address |
269 Highway 138 Sw Apt 1406 Riverdale GA 30274-4066 |
| Practice Telephone | 4049947727 |
| Mailing Telephone | 3474001772 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008964 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
290 HIGHWAY 314 SUITE B |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269768 | Olistell, Inc. | Home Health | 290 Highway 314, Suite C, Fayetteville, GA 30214-7813 | 2006-03-14 |
| 1154877363 | Krystle Penn | Massage Therapist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2016-08-28 |
| 1851740948 | Lakeisha Joseph | Speech-Language Pathologist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2016-06-08 |
| 1467808246 | Phedra Fields | Occupational Therapist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2016-05-10 |
| 1114205895 | Andrea J Adams | Counselor | 290 Highway 314, Suite D, Fayetteville, GA 30214-7813 | 2011-07-28 |
| 1669750345 | Serenity Counseling & Consulting Services | Counselor | 290 Highway 314, Suite D, Fayetteville, GA 30214-7813 | 2011-07-28 |
| 1558508580 | Ideal Therapy, LLC | Physical Therapist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2009-01-13 |
| 1013000900 | Laura Marie Carn Smith | Dentist | 290 Highway 314, Suite A, Fayetteville, GA 30214-7813 | 2006-10-02 |
| 1447341359 | Clarence A Parrott | Dentist | 290 Highway 314, Suite A, Fayetteville, GA 30214-7813 | 2006-09-27 |
| 1871698134 | Stacy G Smith | Dentist | 290 Highway 314, Suite A, Fayetteville, GA 30214-7813 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1033720297 | Madeleine Caroline Montoya | Speech-Language Pathologist | 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 | 2020-08-12 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1669096764 | Babbling Bunch Speech Therapy LLC | Speech-Language Pathologist | 145 Pepperdine Way, Fayetteville, GA 30214-3666 | 2020-06-04 |
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1801436597 | Ruhee Keshwani | Speech-Language Pathologist | 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 | 2020-01-09 |
| 1265080121 | Tempest Olivia Baker | Speech-Language Pathologist | 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 | 2019-09-03 |
| 1407403991 | Jennifer Nicole Gunderson | Speech-Language Pathologist | Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 | 2019-08-20 |
| 1275191769 | Lindsay Denise Richards | Speech-Language Pathologist | 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 | 2019-05-30 |
| 1285290353 | Affinity Therapy Services | Speech-Language Pathologist | 2755 Bardolino Dr, Fayetteville, NC 28306-4635 | 2019-05-14 |
| 1942766829 | Speech Within Reach | Speech-Language Pathologist | 5594 Linkwood Dr, Fayetteville, NC 28311-0289 | 2019-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.