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Julie Johnson , CCC-SLP

Speech-Language Pathologist β€’ Shoreview, MN

Active NPI 1689946006 Individual Practitioner Female Practitioner
Practice location in NPPES

5985 Rice Creek Pkwy Ste 205
Shoreview, MN 551265037

Call 6128884757 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5985 Rice Creek Pkwy Ste 205

Shoreview, MN 551265037

Telephone 6128884757
Organization at the Same NPPES Address or Phone
Fundamental Kids Therapy Llc Facility NPI 1922443522

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lindstrom, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Julie Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Shoreview and Minnesota

32 active clinicians are listed under Speech-Language Pathologist with a practice address in Shoreview, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Shoreview

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 8614

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20170106001074

Enrollment State Jurisdiction

MN

PECOS Control ID

2264713288

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

12732 Lake Blvd

Lindstrom, MN 550459342

Phone: 6128884757

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 28, 2021

Registered at 5985 RICE CREEK PKWY STE 205, SHOREVIEW, MN 551265037 (Tel: 6128884757)

πŸ“
Updated Business Mailing Address July 28, 2021

Registered at 5985 RICE CREEK PKWY STE 205, SHOREVIEW, MN 551265037 (Tel: 6128884757)

βœ…
NPI Profile Active March 14, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 14, 2013

Registered at 145 221ST AVE NW, OAK GROVE, MN 550119608 (Tel: 9522972460)

πŸ“
Business Mailing Address (Initial Record) March 14, 2013

Registered at 145 221ST AVE NW, OAK GROVE, MN 550119608 (Tel: 9522972460)

πŸ‘€
Provider Name / Credentials (Initial Record) March 14, 2013

Recorded as JULIE JOHNSON, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

Speech-Language Pathologist (license number reported to NPPES: MN 8614)

🟒
Initial NPI Registration & Enumeration January 31, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689946006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2012
Last Update: October 17, 2021
Sole Proprietor: No

Mailing Address

5985 Rice Creek Pkwy Ste 205

Shoreview, MN 551265037

Phone: 6128884757

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.