AMANDA J JOHNSON (NPI# 1710011077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710011077 |
| Entity Type | Individual |
| Full Name | AMANDA J JOHNSON |
| Credential | SPEECH THERAPIST |
| Practice Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Mailing Address |
8 Rosewood Ct Bloomington IL 61704-4834 |
| Practice Telephone | 3096861177 |
| Practice Fax Number | 3096872035 |
| Mailing Telephone | 3097384906 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
507 E ARMSTRONG AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434795 | Easter Seals - Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2005-11-14 |
| 1295347201 | Emily Kathleen Smith | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-08-20 |
| 1215561089 | Anne Kirchgessner | Nurse Practitioner | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-03-02 |
| 1568002202 | Megan Mcnamara | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-01-10 |
| 1184268286 | Kaitlyn Schlink | Occupational Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-10-31 |
| 1134770399 | Melissa Kay Reid | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-09-27 |
| 1871142703 | Molly Cull | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603 | 2019-09-04 |
| 1053964791 | Taylor Dayne Walden | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-07-22 |
| 1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
| 1295290930 | Cally Lynn Webb | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| 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 |
|---|---|---|---|---|
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1558916676 | Ashlyn Logston | Speech-Language Pathologist | 8092 W Paradise Ln Apt 1097, Peoria, AZ 85382-4982 | 2019-08-06 |
| 1700443074 | Julie Ann Kelly | Speech-Language Pathologist | 1619 W Fredonia Ave, Peoria, IL 61606-1664 | 2019-05-22 |
| 1619441342 | Jean Marie Bachman | Speech-Language Pathologist | 918 W Florence Ave, Peoria, IL 61604-1304 | 2019-01-16 |
| 1780155697 | Alexandra Marie Jones | Speech-Language Pathologist | 2315 N Sterling Ave, Peoria, IL 61604-3124 | 2018-12-17 |
| 1760951412 | Casey Lyn Janko | Speech-Language Pathologist | 5409 N Knoxville Ave Ste 103, Peoria, IL 61614-5069 | 2018-11-23 |
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1982179123 | Jenny R. Doering | Speech-Language Pathologist | 4603 N Knoxville Ave, Peoria, IL 61614-6107 | 2018-10-03 |
| 1356825418 | Anne M Hall | Speech-Language Pathologist | 700 Mary St, Peoria, IL 61603-3432 | 2018-09-24 |
| Find all providers in PEORIA | ||||
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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.