MRS. MOLLY KATHRYN JOHNSON (NPI# 1639314156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639314156 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY KATHRYN JOHNSON |
| Credential | M.A. SLP |
| Practice Address |
7201 Greenboro Dr West Melbourne FL 32904-1698 |
| Mailing Address |
1046 Elmont St Nw Palm Bay FL 32907-7960 |
| Practice Telephone | 3218216736 |
| Practice Fax Number | 3217245289 |
| Mailing Telephone | 3217268802 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SZ4442 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713377 | Molly Patricia Johnson | Counselor | 320 Sunrise Dr Ste B, Saint Peter, MN 56082-1353 | 2019-01-02 |
| 1326543661 | Molly Elizabeth Johnson | Student in an Organized Health Care Education/Training Program | Msc11 6025 700 Camino De Salud, Albuquerque, NM 87131-0001 | 2018-03-28 |
| 1467970053 | Molly Amanda Johnson | Doula | 161 Rabbit Holw, Diboll, TX 75941-3532 | 2017-09-02 |
| 1457746349 | Molly Johnson | Student in an Organized Health Care Education/Training Program | 2330 Lee Road 137 Lot 414, Auburn, AL 36832-2410 | 2015-03-30 |
| 1417350737 | Molly Johnson | Counselor | 30 Cumberland Ave, Asheville, NC 28801 | 2014-10-01 |
| 1477982676 | Molly B Johnson | Occupational Therapist | 609 E St Se, Linton, IN 47441-8503 | 2013-11-07 |
| 1962757369 | Molly L Johnson | Nurse Practitioner | 210 Pepsi Way, Wytheville, VA 24382-3030 | 2012-07-21 |
| 1679863864 | Molly Johnson | Speech-Language Pathologist | 1726 Fieldstone Ct, Shorewood, IL 60404-8262 | 2011-04-09 |
| 1790397099 | Molly G Johnson | Speech-Language Pathologist | 3925 S 147th St Ste 109-111, Omaha, NE 68144-5565 | 2020-08-18 |
| 1356978084 | Molly Johnson | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-03-24 |
| Street Address |
7201 GREENBORO DR |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410197 | Indian River Center, LLC | Skilled Nursing Facility | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2005-10-13 |
| 1598055352 | Melanie Ann Lambert | Contractor | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2011-04-13 |
| 1437384641 | Kristen Marie Brong | Occupational Therapist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2009-05-18 |
| 1972737955 | Tammy Lee Farrell | Physical Therapy Assistant | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2009-05-06 |
| 1619119229 | Dianna Linda Apostol Puchero | Occupational Therapist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2009-03-27 |
| 1417102724 | Jenevieve Serilo Oquendo | Physical Therapist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2008-12-01 |
| 1043465479 | Joy Debusk | Skilled Nursing Facility | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2008-11-26 |
| 1063534485 | Sydney Kroeckcaddy | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-04-05 |
| 1063539419 | Michelle Anne Travis | Occupational Therapist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-03-23 |
| 1962527135 | April Boltiador Reyes | Physical Therapist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1326550724 | Pamela Kay Treadwell | Speech-Language Pathologist | 2403 Glasbern Cir, West Melbourne, FL 32904-8072 | 2017-10-26 |
| 1245627595 | April Fletcher | Speech-Language Pathologist | 2532 Glasbern Cir, West Melbourne, FL 32904-8073 | 2015-04-23 |
| 1477981546 | Nicole Gillham | Speech-Language Pathologist | 3265 Irene St, West Melbourne, FL 32904-6732 | 2013-10-28 |
| 1518123074 | Andrea Jean Swayze | Speech-Language Pathologist | 1242 Hailey St, West Melbourne, FL 32904-8210 | 2008-08-04 |
| 1861662157 | Nikisha Nicole Clementin | Speech-Language Pathologist | 435 Sedgewood Cir, West Melbourne, FL 32904-8041 | 2008-03-03 |
| 1578774915 | Jennifer Leah Woodall | Speech-Language Pathologist | 1965 Botanica Circle, West Melbourne, FL 32904 | 2007-05-25 |
| 1336613769 | Matthew Comer | Speech-Language Pathologist | 2129 W New Haven Ave, West Melbourne, FL 32904-3875 | 2019-01-18 |
| 1063534485 | Sydney Kroeckcaddy | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-04-05 |
| 1245355494 | Joann Carr | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-03-20 |
| 1720103658 | Kathleen Mae Corbett | Speech-Language Pathologist | 7201 Greenboro Dr, West Melbourne, FL 32904-1698 | 2007-03-20 |
| Find all providers in WEST MELBOURNE | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
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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.