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Deactivated NPI 1831582840 Deactivated / Inactive NPI Female Practitioner

Shannon Johnson

Speech-Language Pathologist • La Grange, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shannon Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 16, 2015
NPI Deactivation Date November 01, 2018
Total Practice Duration ~3 Years of Practice (2015 – 2018)

Professional Overview & Biography Verified Profile Summary

Shannon Johnson was a registered Speech-Language Pathologist practicing in La Grange, KY. Throughout an active medical career spanning 3 years, Shannon Johnson provided care at the practice location at 4603 TIMBERWALK CT until profile deactivation on 2018-11-01.

Practice Location & Contact Primary Location

Practice Address

4603 Timberwalk Ct

La Grange, KY 400316746

Telephone 5022352428
Associated Practice Facility / Clinic
🏢 Ascb Therapy Llc Facility NPI 1508277864

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in La Grange, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
50 Specialists

Practicing in La Grange, KY (2945 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

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

18 Associated Practitioners
Lyndsey Macadam , MA, CCC-SLP

Speech-Language Pathologist

NPI 1033886445

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Sarah Manovich

Speech-Language Pathologist

NPI 1144840471
Sidney Pickman , OT

Occupational Therapist

NPI 1205535523

Occupational Therapist

Sara Campbell , PTA

Physical Therapy Assistant

NPI 1295310845

Physical Therapist Assistant

Tracie Caudill

Developmental Therapist

NPI 1326966326
Joie Porter

Speech-Language Pathologist

NPI 1457285207

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 01, 2018

Record deactivated on November 01, 2018

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 16, 2015

Registered at 4603 TIMBERWALK CT, LA GRANGE, KY 400316746 (Tel: 5022352428)

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Updated Business Mailing Address March 16, 2015

Registered at 468 HIGHWAY 88, GREENSBURG, KY 427439400

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Provider Name / Credentials Updated March 16, 2015

Recorded as SHANNON JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Speech-Language Pathologist

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Initial NPI Registration & Enumeration March 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831582840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2015
Last Update: March 16, 2015
Deactivation Date: November 01, 2018

Mailing Address

468 Highway 88

Greensburg, KY 427439400

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.