Healthcare Provider Details

I. General information

NPI: 1902188840
Provider Name (Legal Business Name): SARAH MICHELLE JOHNSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WINDERMERE BLVD
ALEXANDRIA LA
71303-3538
US

IV. Provider business mailing address

221 WINDERMERE BLVD
ALEXANDRIA LA
71303-3538
US

V. Phone/Fax

Practice location:
  • Phone: 318-443-9773
  • Fax: 318-443-9799
Mailing address:
  • Phone: 318-443-9773
  • Fax: 318-443-9799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6549
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: