Individual provider Active NPI

Allison Ruth Campbell Doss, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bristol, VA
National Provider Identifier
1124688528
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2603 Osborne St
Bristol, VA 24201-2326
Phone
(276) 669-6331
Fax
(276) 669-2950
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X VA Primary

Addresses

Primary practice location

2603 Osborne St
Bristol, VA 24201-2326

Mailing address

359 Commonwealth Ave Ste 100
Bristol, VA 24201-3867
Phone (276) 759-2917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219001714 VA Practitioner - Qualified Speech Language Pathologist 4880028109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Regional Speech and Hearing CenterGroup PAC ID 0042313058, 3 clinicians

Practice addresses (Care Compare)

359 Commonwealth Ave
Suite 100
Bristol, VA 24201-3867
Phone (276) 669-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Regional Speech & Hearing Center CurrentSince Oct 12, 2019 Accepting new patients
Bristol Regional Speech & Hearing Center Speech-Language Pathologist CurrentSince Sep 20, 2022 Accepting new patients

Locations

111 Commonwealth Ave
Ste 100
Bristol, VA 24201
Phone (276) 644-3120

Organizations & group practices 2

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1124688528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 COMMONWEALTH AVE STE 100",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013867",
            "telephone_number": "276-759-2917",
            "fax_number": "276-669-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 OSBORNE ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242012326",
            "telephone_number": "276-669-6331",
            "fax_number": "276-669-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL DOSS",
        "first_name": "ALLISON",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.