Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Nicole Johnson

Individual provider Speech-Language Pathologist · NPI 1891336186

Shannon Nicole Johnson is a Qualified Speech Language Pathologist in Lewistown, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Fox Rehabilitation Services Inc, a 1,155-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

276 Green Ave Ext
Lewistown, PA 17044-9707
Phone: (610) 849-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL015374 (PA)

Record details

NPI number1891336186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fox Rehabilitation Services Inc — 1155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lewistown