Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1336745645 Deactivated / Inactive NPI Female Practitioner

Colleen Johnson

Speech-Language Pathologist • Mechanicsville, VA

⚠️

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, Colleen Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2020
NPI Deactivation Date October 01, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Colleen Johnson was a registered Speech-Language Pathologist practicing in Mechanicsville, VA. Throughout an active medical career spanning 2 years, Colleen Johnson provided care at the practice location at 7600 AUTUMN PARK WAY until profile deactivation on 2022-10-01.

Practice Location & Contact Primary Location

Practice Address

7600 Autumn Park Way

Mechanicsville, VA 231163868

Telephone 8047300009
Associated Practice Facility / Clinic
🏢 Autumn Corporation Facility NPI 1366789075

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mechanicsville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
59 Specialists

Practicing in Mechanicsville, VA (4974 Statewide)

Telehealth Adoption Rate
1.7% 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: 2022-11-01
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

27 Associated Practitioners
Dr. Nicole Doolen , DPT

Physical Therapist

NPI 1023648490

Doctor of Physical Therapy

Julia Bennett , CCC-SLP

Speech-Language Pathologist

NPI 1053767509

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1134998362

Physical Therapist, Doctor of Physical Therapy

Tiffany Long , OTR, L

Occupational Therapist

NPI 1144518390

Occupational Therapist Registered, L

Brooke Smith

Physical Therapist

NPI 1164870994
Ashley Vuu , OTR, L

Occupational Therapist

NPI 1174231419

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 November 01, 2022

Registered at 7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 231163868 (Tel: 8047300009)

📍
Updated Business Mailing Address November 01, 2022

Registered at 7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 231163868

👤
Provider Name / Credentials Updated November 01, 2022

Recorded as COLLEEN JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Speech-Language Pathologist

⚠️
NPI Profile Deactivated October 01, 2022

Record deactivated on October 01, 2022

NPI Profile Active December 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2020

Registered at 7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 231163868 (Tel: 8047300009)

📍
Updated Business Mailing Address December 10, 2020

Registered at 7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 231163868

👤
Provider Name / Credentials Updated December 10, 2020

Recorded as COLLEEN JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration December 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Colleen Johnson. Be the first to share your experience!

Sign in to leave a review for Colleen Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336745645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2020
Last Update: November 01, 2022
Deactivation Date: October 01, 2022
Sole Proprietor: No

Mailing Address

7600 Autumn Park Way

Mechanicsville, VA 231163868

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.