Active NPI
Allison N Mills, M.S., CCC-SLP
- Speech-Language Pathologist
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111671
- Practice address
- 630 Stoneglen Dr Ste B
Keller, TX 76248-3626 - Phone
- (817) 734-6515
- Fax
- (817) 717-8584
- NPI assigned
- Oct 23, 2017
- Last updated
- Feb 24, 2020
- 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 Pathologist | 235Z00000X | 111671 | TX | Primary |
Addresses
Primary practice location
630 Stoneglen Dr Ste B
Keller, TX 76248-3626
Mailing address
3933 Vista Greens Dr
Fort Worth, TX 76244-8165
Phone (817) 734-6515
Other names 1
- Allison N Bradford
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 |
|---|---|---|---|
| 111671 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allison's Therapy Corner, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Allison's Therapy Corner | Past | Accepting new patients |
Locations
4831 Merlot Ave
Unit 320
Grapevine, TX 76051
Phone (817) 796-6860
630 Stoneglen Dr
Ste B
Keller, TX 76248
Phone (817) 734-6515
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allison's Therapy Corner
- Behavior Analyst
- Fort Worth, TX
- NPI 1184195737
Speech-Language Pathologist
-
- Behavior Technician
- Fort Worth, TX
- NPI 1548958200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1295246817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 VISTA GREENS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448165",
"telephone_number": "817-734-6515",
"fax_number": "817-717-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 STONEGLEN DR STE B",
"city": "KELLER",
"state": "TX",
"postal_code": "762483626",
"telephone_number": "817-734-6515",
"fax_number": "817-717-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "ALLISON",
"middle_name": "N",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "BRADFORD",
"middle_name": "N",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Keller, TX
- Metroplex Interventional Pain Care (Texas Pain Institute)
- Milk & Honey Medical Services PLLC (Primary Care Simplified PLLC)
- Miller Family Counseling LLC
- Edwin Wayne Miller, LPC
- Tamara S. Miller, D.D.S.
- Kristen C Mills, OTR
- Mind Above Matter LLC
- Helene Henrica Ngansop Mindja, APRN-CNP
- Mindwell Therapy
- Renee Miphouvieng, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.