Active NPI
Allison Mitchell, CCC-SLP
- Speech-Language Pathologist
- Jackson, MS
National Provider Identifier
1013367978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14116801
- Practice address
- 1225 N State St
Jackson, MS 39202-2064 - Phone
- (601) 968-5003
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14116801 | MS | Primary |
Addresses
Primary practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
262 Meadowoods Dr
Jackson, MS 39211-3010
Phone (601) 953-5205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14116801 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1013367978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 MEADOWOODS DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113010",
"telephone_number": "601-953-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022064",
"telephone_number": "601-968-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "14116801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Mississippi Urology Clinic, PLLC
- Mississippi Urology Outpatient Surgery Center, LLC
- Mississippi Vascular Center, PLLC
- Mississippi Vision Center
- Mitchell Myers, M.D.
- Anna Carol Mitchell, CPNP-AC/PC
- April Layne Mitchell, PMHNP
- April Nicole Mitchell, PCMHT
- Ashley B. Mitchell, M.S., C.C.C., S.L.P.
- Casie Mitchell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.