Active NPI
Ashlynn Eccleston
- Speech-Language Pathologist
- Waco, TX
National Provider Identifier
1073265690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4900 Sanger Ave
Waco, TX 76710-5866 - Phone
- (254) 848-6284
- Fax
- (254) 848-4193
- NPI assigned
- Jan 25, 2022
- 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 | Primary |
Addresses
Primary practice location
4900 Sanger Ave
Waco, TX 76710-5866
Mailing address
127 W Broad St Ste 850
Lake Charles, LA 70601-4394
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Specialties LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1073265690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W BROAD ST STE 850",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706014394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SANGER AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767105866",
"telephone_number": "254-848-6284",
"fax_number": "254-848-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECCLESTON",
"first_name": "ASHLYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.