Individual provider Active NPI

Rosemary Martha Allis, SLP

  • Speech-Language Pathologist
  • Alhambra, CA
National Provider Identifier
1194060319
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22987 Issued in CA
Practice address
205 E Beacon St Apt 9
Alhambra, CA 91801-4279
Phone
(425) 359-8285
NPI assigned
Nov 28, 2012
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 22987 CA Primary

Addresses

Primary practice location

205 E Beacon St Apt 9
Alhambra, CA 91801-4279

Mailing address

205 E Beacon St Apt 9
Alhambra, CA 91801-4279
Phone (425) 359-8285

Other names 1

  • Rosemary Richards Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22987CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1194060319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E BEACON ST APT 9",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014279",
            "telephone_number": "425-359-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E BEACON ST APT 9",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014279",
            "telephone_number": "425-359-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIS",
        "first_name": "ROSEMARY",
        "middle_name": "MARTHA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "RICHARDS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.