Ashley Gwen Smith, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-5002 Issued in MS

Practice address

960 Commonwealth Blvd
Tupelo, MS 38804-9762

Phone

(662) 260-3789

Fax

(662) 260-3790

NPI assigned

Feb 17, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ashley Gwen Garrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Talk Place LLC

  • Clinic/Center
  • Pace, FL
  • NPI 1679590632
  NPD (past)
• Kids Talk Place LLC

  • Clinic/Center
  • Crestview, FL
  • NPI 1932861234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1003561093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-777-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 COMMONWEALTH BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049762",
            "telephone_number": "662-260-3789",
            "fax_number": "662-260-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "GWEN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "19647",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GARRISON",
            "middle_name": "GWEN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne A Slocum, MD
• Xzavious Smalls
• Hannah Harrison Smallwood, DPT
• Rhonda Smart, MS, LMFT
• Amanda Smith, FNP-C
• Blake Smith
• Carolee Elizabeth Smith, MSSW
• Christopher Smith
• Christopher Richard Smith, LPTA
• Cynthia Ruth Smith, ACNP

• Speech-Language Pathologist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.