Active NPI
Ashley H Bush, M.A.,CCC-SLP
- Speech-Language Pathologist
- Conroe, TX
National Provider Identifier
1134430069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102216
- Practice address
- 99 Rigby Owen Rd
Conroe, TX 77304-1765 - Phone
- (936) 758-1240
- NPI assigned
- Jun 25, 2010
- 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 | 102216 | TX | Primary |
Addresses
Primary practice location
99 Rigby Owen Rd
Conroe, TX 77304-1765
Mailing address
6979 Breezy PT
Willis, TX 77318-9177
Phone (409) 781-7204
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102216 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1134430069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6979 BREEZY PT",
"city": "WILLIS",
"state": "TX",
"postal_code": "773189177",
"telephone_number": "409-781-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 RIGBY OWEN RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773041765",
"telephone_number": "936-758-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "ASHLEY",
"middle_name": "H",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.