Provider Demographics
NPI:1588043152
Name:JOHNSON, ASHTON MARIE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:MARIE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ASHTON
Other - Middle Name:MARIE
Other - Last Name:LAMPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4014 LEAVENWORTH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-0006
Practice Address - Country:US
Practice Address - Phone:402-559-5208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE329231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist