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Active NPI 1265675748 Individual Practitioner Female Practitioner

Mary A Johnson , SLP

Speech-Language Pathologist • Waukee, IA

Professional Overview & Biography Verified Profile Summary

Mary Johnson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Waukee, IA. Practice services are available at 1650 SE HOLIDAY CREST CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1650 Se Holiday Crest Cir

Waukee, IA 502638661

Telephone 6158966400
Associated Practice Facility / Clinic
🏢 Key Rehabilitation, Inc Facility NPI 1265639033

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Waukee, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Waukee, IA (1093 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IA 001908

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tammi Thrash , PTA

Physical Therapy Assistant

NPI 1003096256

Physical Therapist Assistant

Renee Suppes

Occupational Therapist

NPI 1013119684
Jason Nickelson , SLP

Speech-Language Pathologist

NPI 1023210085

Speech-Language Pathologist

Bethany Eastwood , OTR

Occupational Therapist

NPI 1023240959

Occupational Therapist Registered

Amy Sands

Physical Therapy Assistant

NPI 1033311600
Sarah Mcmillan , OTA

Occupational Therapy Assistant

NPI 1043412158

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2009

Registered at 1650 SE HOLIDAY CREST CIR, WAUKEE, IA 502638661 (Tel: 6158966400)

📍
Updated Business Mailing Address April 13, 2009

Registered at 5811 WOODLAND RD, DES MOINES, IA 503121253 (Tel: 6158966400)

👤
Provider Name / Credentials Updated April 13, 2009

Recorded as MARY JOHNSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2009

Speech-Language Pathologist (License #001908 in IA)

🟢
Initial NPI Registration & Enumeration April 13, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265675748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2009
Last Update: April 13, 2009
Sole Proprietor: No

Mailing Address

5811 Woodland Rd

Des Moines, IA 503121253

Phone: 6158966400

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.