Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881721314 Individual Practitioner Female Practitioner

Tishunda Dorice Johnson , MS, CCC, SLP

Speech-Language Pathologist • Fort Pierce, FL

Professional Overview & Biography Verified Profile Summary

Tishunda Johnson, MS, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort Pierce, FL. Practice services are available at 1801 S 23RD ST SUITE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1801 S 23rd St Suite 2

Fort Pierce, FL 349504830

Telephone 7724643303
Fax 7724643305
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Pierce, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Fort Pierce, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA5222

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
014022400 (FL)
Medicaid State Provider ID
885794600 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Miranda Brooks , OTR, L

Occupational Therapist

NPI 1043871437

Occupational Therapist Registered, L

Alyssia Mckay , SLP

Speech-Language Pathologist

NPI 1104390509

Speech-Language Pathologist

Jessica White , OTR

Occupational Therapist

NPI 1265866545

Occupational Therapist Registered

Carolyn Jones

Speech-Language Pathologist

NPI 1285182683
Melissa Kinder

Physical Therapy Assistant

NPI 1326479593
Jennifer Fetzer , OTR, L

Occupational Therapist

NPI 1457772063

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 24, 2024

Registered at 1801 S 23RD ST SUITE 2, FORT PIERCE, FL 349504830 (Tel: 7724643303)

📍
Updated Business Mailing Address October 24, 2024

Registered at 1801 S 23RD ST SUITE 2, FORT PIERCE, FL 349504830 (Tel: 7724643303)

👤
Provider Name / Credentials Updated October 24, 2024

Recorded as TISHUNDA JOHNSON, M.S., CCC, SLP

📍
Updated Practice Location November 06, 2020

Registered at 1801 S 23RD ST STE 2, FORT PIERCE, FL 349504830 (Tel: 7724643303)

📍
Updated Business Mailing Address November 06, 2020

Registered at 1801 S 23RD ST STE 2, FORT PIERCE, FL 349504830 (Tel: 7724643303)

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2016

Registered at 800 VIRGINIA AVE STE 14, FORT PIERCE, FL 349825829 (Tel: 7724643303)

📍
Updated Business Mailing Address August 02, 2016

Registered at 800 VIRGINIA AVE, SUITE 14, FORT PIERCE, FL 349825829 (Tel: 7724643303)

👤
Provider Name / Credentials Updated August 02, 2016

Recorded as TISHUNDA TULLIS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Speech-Language Pathologist (License #SA5222 in FL)

🟢
Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881721314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: October 24, 2024
Sole Proprietor: No

Mailing Address

1801 S 23rd St Suite 2

Fort Pierce, FL 349504830

Phone: 7724643303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.