ELIZABETH SARAH JOHNSON (NPI# 1568962124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568962124 |
| Entity Type | Individual |
| Full Name | ELIZABETH SARAH JOHNSON |
| Practice Address |
2795 Pilot Knob Rd Ste 100 Eagan MN 55121 |
| Mailing Address |
2795 Pilot Knob Rd Ste 100 Eagan MN 55121-1930 |
| Practice Telephone | 6519949644 |
| Practice Fax Number | 6519948962 |
| Mailing Telephone | 6519949644 |
| Mailing Fax Number | 6519948962 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9816 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MNDOH | 9816 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 | 6519949644 | 6519948962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1275169138 | Elizabeth Layla Johnson | Social Worker | 978 Dekalb Ave Apt 3, Brooklyn, NY 11221-6404 | 2020-03-22 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1174013957 | Elizabeth Johnson | Psychologist | 322 5th Ave Apt A, San Francisco, CA 94118-2310 | 2018-05-16 |
| 1245739937 | Elizabeth Anne Johnson | Specialist/Technologist | 900 Nw Bryant St, Pullman, WA 99163-3009 | 2018-02-08 |
| 1720591886 | Elizabeth Michele Johnson | Licensed Practical Nurse | 16 Dartmouth Rd, Highland Mills, NY 10930-2605 | 2017-11-13 |
| 1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
| 1619495934 | Elizabeth Johnson | Speech-Language Pathologist | 103 Briarbrook Dr, East Peoria, IL 61611-4474 | 2017-09-07 |
| 1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
| 1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
| Street Address |
2795 PILOT KNOB RD STE 100 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497899413 | Amy Vogel | Occupational Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2007-02-16 |
| 1700444973 | Kaila Potting | Physical Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2019-06-03 |
| 1265939326 | Korie Jackson | Occupational Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2018-04-06 |
| 1720530389 | Megan Duffy | Occupational Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2016-10-31 |
| 1730632050 | Cassandra Van Ravenhorst | Speech-Language Pathologist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2016-08-03 |
| 1992169619 | Stefanie Clarkin | Occupational Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 | 2016-04-08 |
| 1982080685 | Lauren Cole | Speech-Language Pathologist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2015-08-04 |
| 1659758506 | Laura Lewis | Speech-Language Pathologist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2015-04-29 |
| 1093192940 | Kelsey Falligant | Speech-Language Pathologist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2015-04-29 |
| 1700287943 | Katie Heberer | Physical Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2014-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1093119786 | Amanda Enstrom | Speech-Language Pathologist | 3464 Washington Dr, Suite 110, Eagan, MN 55122-1453 | 2014-10-09 |
| 1912508383 | Kellie Denise Metzger | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-11-03 |
| 1073074886 | Samantha Kraus | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-03-26 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1043700040 | Daniel Hatfield | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2018-05-15 |
| 1053820431 | Shirin Razavian | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122 | 2017-09-28 |
| 1679090864 | Tressa Theis | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122 | 2017-08-28 |
| 1235655184 | Dana Swanson | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2017-08-22 |
| 1760926661 | Aaron Pope | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2016-12-12 |
| 1457893307 | Amber Petereck | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2016-11-09 |
| Find all providers in EAGAN | ||||
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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.