DR. GLENN ALBERT JOHNSON (NPI# 1710929765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710929765 |
| Entity Type | Individual |
| Full Name | DR. GLENN ALBERT JOHNSON |
| Credential | PHD |
| Practice Address |
2611 Ne 125th St Suite 225 Seattle WA 98125-4373 |
| Mailing Address |
6828 30th Ave Ne Seattle WA 98115-7241 |
| Practice Telephone | 2063616884 |
| Mailing Telephone | 2065279105 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL00002989 | WA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003093683 | Glenn A. Johnson | Physical Therapist | 808 E Justin Dr, Sioux Falls, SD 57108-4646 | 2008-01-26 |
| 1225235997 | Glenn Edwin Johnson | Chiropractor | 1665 S Brookhurst St, Suite J, Anaheim, CA 92804-6000 | 2007-06-27 |
| 1063441434 | Glenn Dwight Johnson | Otolaryngology | Dartmouth-hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001 | 2006-06-30 |
| 1417950569 | Glenn Ray Johnson | Orthopaedic Surgery | 901 Montgomery St, Decorah, IA 52101-2325 | 2005-05-23 |
| 1710391719 | Glenn Johnson | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2014-06-17 |
| 1710249255 | Glenn Phelps Johnson Jr. | Counselor | 137 N Cottonwood St, Suite 1530, Woodland, CA 95695-6646 | 2012-06-11 |
| 1942480306 | Glenn A Johnson | Chiropractor | 500 9th Ave, Suite 5, Longmont, CO 80501-4598 | 2007-11-13 |
| 1609909829 | Glenn Roger Johnson | Psychologist | 256 Concord Ave, Cambridge, MA 02138-1337 | 2007-03-14 |
| 1265583751 | Glenn D Johnson | Chiropractor | 10321 Kingston Pike, Knoxville, TN 37922-3224 | 2007-01-13 |
| 1508958281 | Glenn Everett Johnson | Dentist | 2478 Patterson Road, Suite 24, Grand Junction, CO 81505 | 2006-09-29 |
| Street Address |
2611 NE 125TH ST SUITE 225 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719698 | Kathryn Mabel Hahn | Physical Therapist | 2611 Ne 125th St, Tai Northlake Physical Therapy Ste 140, Seattle, WA 98125-4357 | 2005-11-30 |
| 1518511369 | Anusha Reddy Etikala | Dentist | 2611 Ne 125th St, Seattle, WA 98125-4373 | 2019-07-30 |
| 1073090858 | Consejo Counseling and Referral Service - Lake City | Community/Behavioral Health | 2611 Ne 125th St, Suite 145, Seattle, WA 98125-4373 | 2018-07-24 |
| 1881141216 | Ally Lund | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-09-01 |
| 1144684051 | Lily Jei-ho Chang | Non-Pharmacy Dispensing Site | 2611 Ne 125th St, Suite 115, Seattle, WA 98125-4373 | 2016-04-06 |
| 1134585458 | Becky Brooker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-01-04 |
| 1780058099 | Vlinder Communication Therapies, Pllc | Speech-Language Pathologist | 2611 Ne 125th St, Suite 103, Seattle, WA 98125-4373 | 2015-11-24 |
| 1669848669 | Karin Kittay | Massage Therapist | 2611 Ne 125th St, Suite 240, Seattle, WA 98125-4373 | 2015-08-13 |
| 1013326339 | Devin Langaker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2014-08-12 |
| 1114352259 | Sarah Marie Walker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2013-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
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| 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 |
|---|---|---|---|---|
| 1144821133 | Rebecca Jaleh Mostofi | Speech-Language Pathologist | 708 N 35th St Apt 201, Seattle, WA 98103-8836 | 2020-11-05 |
| 1629679592 | Katherine Elizabeth Paolini | Speech-Language Pathologist | 802 26th Ave S Unit A, Seattle, WA 98144-3061 | 2020-11-05 |
| 1487263620 | Audrey Sheridan Wenzel | Speech-Language Pathologist | 4520 44th Ave Sw, Seattle, WA 98116-4117 | 2020-07-23 |
| 1457972259 | Olivia Santangelo | Speech-Language Pathologist | 12505 Greenwood Ave N Apt 43, Seattle, WA 98133-8040 | 2020-05-03 |
| 1386280196 | Glenn Flores | Speech-Language Pathologist | 12337 3rd Ave Ne, Seattle, WA 98125-4729 | 2019-11-27 |
| 1437708211 | Amanda Renee Gagnon | Speech-Language Pathologist | 514 Ne 102nd St, Seattle, WA 98125-7418 | 2019-09-05 |
| 1427612191 | Cecille Kalafut | Speech-Language Pathologist | 401 E Mercer St Apt 104, Seattle, WA 98102-5398 | 2019-04-27 |
| 1730642968 | Archways - Aphasia Rehabilitation Services Pllc | Speech-Language Pathologist | 151 12th Ave Unit 404, Seattle, WA 98122-6386 | 2019-04-14 |
| 1588126734 | Amanda Sloan Moss | Speech-Language Pathologist | 820 W Nickerson St, Seattle, WA 98119-1424 | 2019-04-04 |
| 1659835197 | Marci Revelli | Speech-Language Pathologist | 606 Nw 79th St, Seattle, WA 98117-4050 | 2019-01-29 |
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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.