Active NPI
Ashley Goff Callahan, MS
- Speech-Language Assistant
- Vero Beach, FL
National Provider Identifier
1285992404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI2069
- Practice address
- 3006 Nassau Dr
Vero Beach, FL 32960-4991 - Phone
- (772) 519-2408
- Fax
- (772) 460-0919
- NPI assigned
- Apr 25, 2012
- Last updated
- Aug 24, 2022
- 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 Assistant | 2355S0801X | SI2069 | FL | Primary |
Addresses
Primary practice location
3006 Nassau Dr
Vero Beach, FL 32960-4991
Mailing address
3006 Nassau Dr
Vero Beach, FL 32960-4991
Phone (772) 519-2408
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI2069 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1285992404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 NASSAU DR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604991",
"telephone_number": "772-519-2408",
"fax_number": "772-460-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 NASSAU DR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604991",
"telephone_number": "772-519-2408",
"fax_number": "772-460-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "ASHLEY",
"middle_name": "GOFF",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI2069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.