Individual provider Active NPI

Allison N Mills, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Keller, TX
National Provider Identifier
1295246817
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111671 Issued in TX
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 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 Former name

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

LicenseStateTypeSpecialty
111671TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allison's Therapy Corner, LLC Speech-Language Pathologist CurrentSince Mar 1, 2020 Accepting new patients
Allison's Therapy Corner PastSince Apr 30, 2023 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.

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

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.

Verify at the official NPI Registry.