AMANDA L JOHANNSSEN


Address: 109 Troup St, Rochester, NY 14608-2027
Phone: 3157179191

AMANDA L JOHANNSSEN (NPI# 1043571433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043571433
Entity Type Individual
Full Name AMANDA L JOHANNSSEN
Credential CCC-SLP
Practice Address 109 Troup St
Rochester
NY 14608-2027
Practice Telephone 3157179191
Enumeration Date 2012-06-03
Last Update Date 2012-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 021864-1 NY Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION CERIFICATION 14060744 01

Office Location

Street Address 109 TROUP ST
City ROCHESTER
State NY
Zip Code 14608-2027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588138184 Starzom, LLC Transportation Broker 803 South Plymouth Avenue, Rochester, NY 14608 2019-01-16
1750864500 Nikki Haynesworth Counselor 394 Frederick Douglass St., Rochester, NY 14608 2018-09-07
1639614498 Atiya Abdus-samad Technician 104 Cady Street, Rochester, NY 14608 2017-01-03
1467806703 Beverley Adams Licensed Practical Nurse 200 Frost Avenue, Rochester, NY 14608 2016-04-22
1497114037 Amanda Martinez Licensed Practical Nurse 125 Minnesota St, Rochester, NY 14608 2016-02-10
1366771750 Tracy Lynn Clark Licensed Practical Nurse 2 Backus St, Rochester, NY 14608 2009-12-14
1033397252 Tracy Stevens Registered Nurse 280 Seward Street, Rochester, NY 14608 2008-02-11
1578653929 Amy L Archer Social Worker 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 2006-10-14
1902906233 Kevin M Mcintyre Psychiatry & Neurology 81 Lake Ave., Rochester, NY 14608 2006-09-25
1427088913 Steven M Ess Chiropractor 309 Exchange Blvd, Rochester, NY 14608 2006-07-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ROCHESTER
Zip Code 14608

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Dataset Information

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.

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