| Kristen Marie Johnson, | |
|
1021 N 26th St, Bismarck, ND 58501-3109 | |
| (701) 323-1999 | |
| Not Available |
| Full Name | Kristen Marie Johnson |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 4 Years |
| Location | 1021 N 26th St, Bismarck, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336737469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Onr National Speech Pathology Inc | 2668463522 | 61 |
| Aegis Group Practice Llc | 5193036432 | 399 |
| Provider Name | Aegis Group Practice LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20211229000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Marie Johnson, 3011 Arizona Dr, Bismarck, ND 58503-5313 Ph: Not Available | Kristen Marie Johnson, 1021 N 26th St, Bismarck, ND 58501-3109 Ph: (701) 323-1999 |
Mrs. Kelli Katharina Ellenbaum, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2625 N 19th St, Bismarck, ND 58503 Phone: 701-222-3175 Fax: 701-222-3186 |
Sierra Larae Burgess, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 210 S 12th St, Bismarck, ND 58504 Phone: 701-222-3175 Fax: 701-222-3186 |
Rebecca Mcgillivray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 720 N 14th St, Bismarck, ND 58501 Phone: 701-323-4400 |
Linaya Ming, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2625 N 19th St, Bismarck, ND 58503 Phone: 701-222-3175 Fax: 701-222-3186 |
Donna Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-323-4028 Fax: 701-323-4027 |
Kourtney Carr, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-323-4028 Fax: 701-323-4027 |
Breanna Moritz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 E Interstate Ave, Bismarck, ND 58503 Phone: 701-751-1125 |