CRYSTAL DALTON JOHNSON (NPI# 1942404595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942404595 |
| Entity Type | Individual |
| Full Name | CRYSTAL DALTON JOHNSON |
| Credential | SLP |
| Practice Address |
1127 Persinger Rd Sw Roanoke VA 24015-3829 |
| Mailing Address |
5347 Daytona Rd Roanoke VA 24019-6307 |
| Practice Telephone | 5403431691 |
| Mailing Telephone | 5403431691 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202005267 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1548871940 | Crystal Johnson | Social Worker | 43 Whitman St # 2, Somerville, MA 02144-1615 | 2020-08-11 |
| 1003436429 | Crystal K Johnson | In Home Supportive Care | 894 E 223rd St, Euclid, OH 44123-3302 | 2020-04-26 |
| 1982121588 | Crystal Johnson | Behavioral Analyst | 20145 Serrano Rd, Apple Valley, CA 92307-2608 | 2017-08-24 |
| 1033662465 | Crystal Johnson | Technician, Other | 2178 Trafalger St, East Lansing, MI 48823-1329 | 2016-08-02 |
| 1043682420 | Crystal Johnson | Counselor | 1303 Commerce Dr, Peachtree City, GA 30269-3566 | 2015-10-26 |
| 1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
| 1932412673 | Crystal Aurice Johnson | Dentist | 5780 Ch James Parkway, Suite 280, Powder Springs, GA 30127-0000 | 2010-07-23 |
| 1326209271 | Crystal Johnson | Speech-Language Pathologist | 10603 Flatlands Ave, Brooklyn, NY 11236-2922 | 2008-06-23 |
| 1912110685 | Crystal L. Johnson | Dentist | 1412 Barnwell St, Columbia, SC 29201-3512 | 2007-05-08 |
| Street Address |
1127 PERSINGER RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184741431 | Rey Adonis Lao | Physical Therapist | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2007-03-23 |
| 1467994137 | Brandy Gail Brumbaugh | Physical Therapy Assistant | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2016-11-13 |
| 1013363746 | Timothy Beierle | Physical Therapy Assistant | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2016-05-12 |
| 1447591128 | Mary E Hale | Occupational Therapist | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2013-03-06 |
| 1104178417 | Jenna Marie Roberts | Physical Therapy Assistant | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2012-10-10 |
| 1922306968 | Heather Coleman | Physical Therapy Assistant | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2011-02-28 |
| 1124324389 | Chelsea Ann Liller | Occupational Therapist | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2011-02-07 |
| 1831426717 | Brea Roanoke LLC | Alzheimer Center (Dementia Center) | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2009-11-12 |
| 1073632691 | Carole A Sease | Occupational Therapist | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2007-03-28 |
| 1558480103 | Dorothy Moushegian Gleason | Speech-Language Pathologist | 1127 Persinger Rd Sw, Roanoke, VA 24015-3829 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| 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 |
|---|---|---|---|---|
| 1982215653 | Melanie Holloway Blanding | Speech-Language Pathologist | 2915 Woodthrush Dr, Roanoke, VA 24018-5029 | 2020-08-14 |
| 1063070704 | Maggie Frye Turner | Speech-Language Pathologist | 1616 19th St Nw, Roanoke, VA 24017-3420 | 2019-05-29 |
| 1134616360 | Andrea Hupp | Speech-Language Pathologist | 1441 Westside Blvd Nw, Roanoke, VA 24017-2731 | 2018-04-13 |
| 1528567955 | Michelle Jones Washenberger | Speech-Language Pathologist | 648 Westwood Blvd Nw, Roanoke, VA 24017-4930 | 2018-02-12 |
| 1467950253 | Heather Holley | Speech-Language Pathologist | 1802 Liberty Rd Nw, Roanoke, VA 24012-4643 | 2018-01-26 |
| 1760980601 | Carla Jeanette Scott | Speech-Language Pathologist | 1212 5th St Sw, Roanoke, VA 24016-4511 | 2018-01-25 |
| 1740796549 | Caitlyn Rogers | Speech-Language Pathologist | 3817 Sunbreeze Cir Apt 331, Roanoke, VA 24018-3171 | 2017-12-17 |
| 1033624580 | Linda Maxie Carr | Speech-Language Pathologist | 7130 Bent Mountain Rd, Roanoke, VA 24018-5710 | 2017-12-06 |
| 1649781675 | Jodi Renee Meyer | Speech-Language Pathologist | 202 W High St, Roanoke, IL 61561-7509 | 2017-10-17 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| Find all providers in ROANOKE | ||||
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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.