Active NPI
Abigail Dillingham
- Speech-Language Assistant
- Conroe, TX
National Provider Identifier
1245651397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 2355S0801X
- Practice address
- 704 Longmire Rd Ste 101
Conroe, TX 77304-1850 - Phone
- (936) 441-1525
- NPI assigned
- Dec 16, 2013
- Last updated
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | 2355S0801X | TX | Primary |
Addresses
Primary practice location
704 Longmire Rd Ste 101
Conroe, TX 77304-1850
Mailing address
1900 Westview Blvd Apt 1417
Conroe, TX 77304-1955
Phone (217) 841-0503
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2355S0801X | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1245651397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WESTVIEW BLVD APT 1417",
"city": "CONROE",
"state": "TX",
"postal_code": "773041955",
"telephone_number": "217-841-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 LONGMIRE RD STE 101",
"city": "CONROE",
"state": "TX",
"postal_code": "773041850",
"telephone_number": "936-441-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLINGHAM",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "2355S0801X",
"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 Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.