MEDICARE: RUSSELL JOHNSTON M.A., 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	3856	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3856	OTHER	KS	KDADS LICENSE
2	14175399	OTHER	MD	ASHA

General Provider Information

NPI Number	:	1699286617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSSELL JOHNSTON M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	1200 SUNNYSIDE AVE
Second Line	:	2101 HAWORTH HALL
City	:	LAWRENCE
State	:	KS
Zip	:	66045
Country	:	US
Telephone Number	:	785-864-4690
Fax Number	:	785-864-5094

Provider Business Practice Location Address
First Line	:	1200 SUNNYSIDE AVE
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7600
Country	:	US
Telephone Number	:	785-864-4690
Fax Number	:	785-864-5094

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

Provider Enumeration Date	:	10/17/2017
Last Update Date	:	10/17/2017

Similar Medicare Providers

1194917567 — DR. GABRIEL ANNE BARGEN PH.D.
Practice Location Address:

1200 SUNNYSIDE AVE , 2101 HAWORTH HALL
LAWRENCE, KS
66045-7600

Practice Phone: 785-864-4690
Practice Fax:

1366714818 — MRS. STEPHANIE MARCIA KNOLLHOFF M.A., CCC-SLP
Practice Location Address:

1200 SUNNYSIDE AVE , 2101 HAWORTH
LAWRENCE, KS
66045-7600

Practice Phone: 785-864-4690
Practice Fax: 785-864-5094

1386043206 — DR. KRYSTA GREEN AUD
Practice Location Address:

1200 SUNNYSIDE AVE , 2101 HAWORTH HALL
LAWRENCE, KS
66045-7600

Practice Phone: 785-864-0656
Practice Fax:

1972904712 — STEPHANIE MEEHAN
Practice Location Address:

2105 HAWORTH , 1200 SUNNYSIDE AVE.
LAWRENCE, KS
66045-7600

Practice Phone: 785-864-0649
Practice Fax:

1851266118 — UNIVERSITY OF KANSAS
Practice Location Address:

1200 SUNNYSIDE AVE , 2101 HAWORTH HALL
LAWRENCE, KS
66045-7600

Practice Phone: 785-864-4690
Practice Fax: 785-864-5094

1962405324 — STEVEN BRUNER M.D.
Practice Location Address:

1200 SCHWEGLER DR
LAWRENCE, KS
66045-7558

Practice Phone: 785-964-9525
Practice Fax: 785-864-9596

Directions to “ RUSSELL JOHNSTON M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.