MEDICARE: MRS. ALANNA JOHNSON STEAPLE CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3709	GA
2	235Z00000X	Speech-Language Pathologist	1119	SC
3	363LC1500X	Community Health Nurse Practitioner	9244800	FL
4	235Z00000X	Speech-Language Pathologist	SA3739	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770690125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALANNA JOHNSON STEAPLE CCC-SLP

Provider Business Mailing Address
First Line	:	278 LASALLE LEFALL DR
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32351-5324
Country	:	US
Telephone Number	:	850-875-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	278 LASALLE LEFALL DR
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32351-5324
Country	:	US
Telephone Number	:	850-875-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	12/19/2012

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Directions to “ MRS. ALANNA JOHNSON STEAPLE CCC-SLP” Practice Location

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