Active NPI
Ashley Royerre Talley, M.S. CCC-SLP
- Speech-Language Pathologist
- Picayune, MS
National Provider Identifier
1295270684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 621 W Canal St
Picayune, MS 39466 - Phone
- (601) 889-9800
- NPI assigned
- Dec 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X | SP0000005518 | TN |
Addresses
Primary practice location
621 W Canal St
Picayune, MS 39466
Mailing address
1561 Pennsylvania Ave
Slidell, LA 70458-3148
Phone (901) 310-0354
Other practice location 1
6320 N Quail Hollow Rd
Memphis, TN 38120-1420
Phone (901) 761-0021
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 |
|---|---|---|---|
| SP0000005518 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tots to Teens Communication Therapy | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Picayune, MS
- NPI 1376719005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1295270684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1561 PENNSYLVANIA AVE",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583148",
"telephone_number": "901-310-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W CANAL ST",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "39466",
"telephone_number": "601-889-9800"
}
],
"practiceLocations": [
{
"address_1": "6320 N Quail Hollow Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381201420",
"country_code": "US",
"telephone_number": "901-761-0021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLEY",
"first_name": "ASHLEY",
"middle_name": "ROYERRE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP0000005518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.