NICOLE JOHNSON (NPI# 1659664571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659664571 |
| Entity Type | Individual |
| Full Name | NICOLE JOHNSON |
| Other Name | NICOLE P JOHNSON |
| Practice Address |
160 Wallace Way Bldg 9 Rochester NY 14624 |
| Mailing Address |
124 Snowberry Cres Rochester NY 14606-4650 |
| Practice Telephone | 5856172314 |
| Mailing Telephone | 7169841296 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 022791 | NY | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2202005855 | VA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 Oconnor Rd, Fairport, NY 144501327 | 5854198174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188991 | Nicole Lynn Johnson | Occupational Therapist | 2616 Overlake Ave, Orlando, FL 32806-7353 | 2020-06-11 |
| 1861015893 | Nicole Johnson | Registered Nurse | 5794 193rd St W, Farmington, MN 55024-9579 | 2020-05-26 |
| 1255969705 | Nicole Rochshel Johnson | Home Health Aide | 4045 Regina Coeli Ct, Marrero, LA 70072-6354 | 2020-03-31 |
| 1942859038 | Nicole Johnson | Developmental Therapist | 7355 13th Ave Nw, Seattle, WA 98117-5306 | 2019-09-10 |
| 1053974360 | Nicole Johnson | Student in an Organized Health Care Education/Training Program | 28741 Appletree, Mission Viejo, CA 92692-1088 | 2019-04-22 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 1295228310 | Nicole Marie Johnson | Technician | 2807 Douglass Pl Se, Washington, DC 20020-4420 | 2018-06-13 |
| 1922512078 | Nicole Johnson | Occupational Therapy Assistant | 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 | 2017-11-28 |
| 1083133490 | Nicole Rebecca Liu Johnson | Psychologist | 20826 2nd Ave W, Lynnwood, WA 98036-7256 | 2017-09-18 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| Street Address |
160 WALLACE WAY BLDG 9 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063661627 | Daniel J Straub | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2008-09-18 |
| 1922644228 | Kristen Marie Mcclellan | Registered Nurse | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2019-11-21 |
| 1073156451 | Kaitlyn Middle Hoag | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2019-10-18 |
| 1063060077 | Melissa A Dibley | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2019-09-03 |
| 1750858791 | Elizabeth Johnson | Counselor | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2018-10-29 |
| 1487151635 | Kiera O'connor Russo | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2018-04-12 |
| 1558880393 | Gabrielle Marie Sharp | Occupational Therapist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2017-09-13 |
| 1285001826 | Megan Quinn Knopp | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2015-08-31 |
| 1639418346 | Megan C. Spatola | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2013-02-01 |
| 1083903868 | Jennifer Dileo | Speech-Language Pathologist | 160 Wallace Way Bldg 9, Rochester, NY 14624-6215 | 2011-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| 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 |
|---|---|---|---|---|
| 1235736570 | Play On Speech Therapy LLC | Speech-Language Pathologist | 323 Maywood Ave, Rochester, MI 48307-1540 | 2020-10-08 |
| 1861009094 | Maria Jill Schmidt | Speech-Language Pathologist | 1130 1/2 7th St Nw Ste 208, Rochester, MN 55901-2995 | 2020-10-01 |
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1437781580 | Christina Marie Soderlund | Speech-Language Pathologist | 1960 Petty Dr, Rochester, IN 46975-9054 | 2020-02-06 |
| 1720625148 | Taylor Barrett | Speech-Language Pathologist | 350 Cooper Road, Rochester, NY 14617 | 2019-12-04 |
| 1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1922533116 | Juliana Moore | Speech-Language Pathologist | 23 Westfield Cmns Apt A, Rochester, NY 14625-2916 | 2017-04-25 |
| 1871036491 | Heather Lange | Speech-Language Pathologist | 4 Saddleback Trl, Rochester, NY 14624-3918 | 2016-11-30 |
| 1366809170 | Christie Burke | Speech-Language Pathologist | 1495 E Buell Rd, Rochester, MI 48306-1209 | 2016-01-25 |
| Find all providers in ROCHESTER | ||||
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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.