Individual provider Active NPI

Allese Joplin, MS

  • Speech-Language Pathologist
  • Mansfield, TX
National Provider Identifier
1205317187
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113065 Issued in TX
Practice address
4300 Mulligan Ave
Mansfield, TX 76063-3475
Phone
(504) 564-5496
NPI assigned
Aug 28, 2018
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 113065 TX Primary

Addresses

Primary practice location

4300 Mulligan Ave
Mansfield, TX 76063-3475

Mailing address

4300 Mulligan Ave
Mansfield, TX 76063-3475
Phone (504) 564-5496

Other practice location 1

5550 Harvest Hill Rd
Dallas, TX 75230-1684
Phone (972) 661-1862

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1205317187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MULLIGAN AVE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633475",
            "telephone_number": "504-564-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MULLIGAN AVE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633475",
            "telephone_number": "504-564-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Harvest Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752301684",
            "country_code": "US",
            "telephone_number": "972-661-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOPLIN",
        "first_name": "ALLESE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.