Individual provider Active NPI

Ashton Eastin, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Cape Girardeau, MO
National Provider Identifier
1225718174
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2021034992 Issued in MO
Practice address
2137 William St
Cape Girardeau, MO 63703-5817
Phone
(573) 803-3338
Fax
(844) 579-0089
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 2021034992 MO Primary

Addresses

Primary practice location

2137 William St
Cape Girardeau, MO 63703-5817

Mailing address

135 Founders Way CT
Cape Girardeau, MO 63701-9442
Phone (573) 382-6863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507003021 MO Practitioner - Qualified Speech Language Pathologist 0143661264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Dysphagia Diagnostics and Speech Services, LLCGroup PAC ID 8527491760, 6 clinicians

Practice addresses (Care Compare)

2137 William St
Elite Mobile Therapy and Wellness
Cape Girardeau, MO 63703-5817
Phone (573) 803-3338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021034992MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dysphagia Diagnostics & Speech Services, LLC Speech-Language Pathologist CurrentSince Apr 1, 2024 Accepting new patients

Locations

2137 William St
Cpe Girardeau, MO 63703
Phone (573) 270-5064

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1225718174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FOUNDERS WAY CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019442",
            "telephone_number": "573-382-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035817",
            "telephone_number": "573-803-3338",
            "fax_number": "844-579-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTIN",
        "first_name": "ASHTON",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021034992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.