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JULIE JOHNSON CCC-SLP
NPI 1689946006
Speech-Language Pathologist in Shoreview, MN

Active since January 31, 2012
5985 RICE CREEK PKWY STE 205, SHOREVIEW, MN 55126(612) 888-4757 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2021, Jul 28, 2021 (2 updates tracked since 2021).

About Julie Johnson Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE JOHNSON CCC-SLP (NPI 1689946006) is an individual speech-language pathologist provider in Shoreview, Minnesota, licensed in Minnesota (8614) and active in the NPI registry since January 2012. She maintains a secondary practice location in Lindstrom.

NPPES Registry Identity

NPI1689946006
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJULIE JOHNSONCredential: CCC-SLP
Location Address5985 RICE CREEK PKWY STE 205Shoreview, MN 55126-5037
Mailing Address5985 Rice Creek Pkwy Ste 205Shoreview, MN 55126-5037 · (612) 888-4757
Phone(612) 888-4757
Sole ProprietorNo
Enumeration DateJanuary 31, 2012
Last NPPES UpdateOctober 17, 20212 updates tracked since enumeration
NPPES CertifiedOctober 17, 2021
✔ NPI 1689946006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 8614
Definition
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.
5985 RICE CREEK PKWY STE 205, Shoreview, MN 55126
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Secondary Practice Location 1

Location 112732 Lake BlvdLindstrom, MN 55045-9342 · Phone (612) 888-4757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Johnson Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Julie Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fundamental Kids Therapy LLC
Same address
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
Shoreview, MN 55126
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1922443522 (612) 888-4757

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY HUSFELDT MS, CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
LANEY LEMERE CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
MOLLY HUNTER OTR/L
Occupational Therapist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
DR. TIFFANY VANG-SUTTON OTD
Occupational Therapist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
TONI HENNING MS, CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
FUNDAMENTAL KIDS THERAPY LLC
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Johnson's NPI number?

The NPI number for Julie Johnson is 1689946006. It was assigned to this individual provider in the NPPES registry on January 31, 2012.

Where is Julie Johnson located?

Julie Johnson practices at 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126. The listed phone number is (612) 888-4757.

What is Julie Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Julie Johnson enrolled in Medicare?

Yes. Julie Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julie Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Johnson reassigns Medicare benefits to Fundamental Kids Therapy LLC (Shoreview, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julie Johnson was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.