LISA M JOHNSON (NPI# 1558875799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558875799 |
| Entity Type | Individual |
| Full Name | LISA M JOHNSON |
| Credential | M.A. CCC/SLP/L |
| Practice Address |
3520 Kishwaukee St Rockford IL 61109-2005 |
| Mailing Address |
7875 Todd Rd Shabbona IL 60550-4162 |
| Practice Telephone | 8152292870 |
| Mailing Telephone | 8158248152 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.004910 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 146.004910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
| 1336772771 | Lisa M Johnson | Nurse Practitioner | 3500 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006-2411 | 2020-02-13 |
| 1467084897 | Lisa S Johnson | Case Manager/Care Coordinator | 510 Exeter Pl, Lake Forest, IL 60045-1521 | 2020-02-04 |
| 1669002010 | Lisa Yvette Johnson | Health Educator | 4939 Pleasant Grove Dr, Wilmington, NC 28412-2288 | 2020-01-23 |
| 1235771064 | Lisa Johnson | Social Worker | 26 Pinto Ln, Palm Coast, FL 32164-7071 | 2019-10-14 |
| 1831661743 | Lisa Rebecca Johnson | Licensed Vocational Nurse | 2701 Lucille Dr Unit A, Killeen, TX 76549-1600 | 2018-12-18 |
| 1235600115 | Lisa Marie Johnson | Nurse Practitioner | 12114 Grey Rock Ln, Austin, TX 78750-1435 | 2018-12-17 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1306346291 | Lisa Johnson | Registered Nurse | 11244 Sundance Ave, El Paso, TX 79936-2322 | 2018-02-16 |
| 1265949796 | Lisa Johnson | Registered Nurse | 648 W M94, Skandia, MI 49885-9609 | 2018-01-05 |
| Street Address |
3520 KISHWAUKEE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| 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 |
|---|---|---|---|---|
| 1063021715 | Mitten State Pediatric Therapy LLC | Speech-Language Pathologist | 6659 Craftsman Square Dr Ne, Rockford, MI 49341-8861 | 2020-07-29 |
| 1467079988 | Michelle Prach | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-06-30 |
| 1093371221 | Teresa Jeannette Doherty | Speech-Language Pathologist | 420 Sunrise Ln, Rockford, IL 61107-4948 | 2019-05-13 |
| 1124536412 | Karen Lynn Locarno | Speech-Language Pathologist | 5620 Spring Creek Rd, Rockford, IL 61114-6442 | 2018-01-20 |
| 1346757374 | Cynthia Otoole - Granberry | Speech-Language Pathologist | 3615 W Gate Pkwy, Rockford, IL 61108-6162 | 2017-12-28 |
| 1245746627 | Jodi L Palmer | Speech-Language Pathologist | 2423 Burrmont Rd, Rockford, IL 61107-1839 | 2017-12-20 |
| 1871008920 | Sharon Marie Garlick | Speech-Language Pathologist | 3805 Rural St, Rockford, IL 61107-3555 | 2017-12-12 |
| 1154836799 | Kate Alison Dineen | Speech-Language Pathologist | 212 N London Ave, Rockford, IL 61107-4425 | 2017-12-05 |
| 1003320920 | Inna Natanova | Speech-Language Pathologist | 5222 Spring Creek Rd, Rockford, IL 61114-6330 | 2017-11-30 |
| 1265946313 | Jane Marie Sudderberg | Speech-Language Pathologist | 1751 Clinton St, Rockford, IL 61103-4804 | 2017-11-28 |
| Find all providers in ROCKFORD | ||||
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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.