Individual provider Active NPI

Allyson Maxwell, SLP

  • Speech-Language Pathologist
  • Monroe, LA
National Provider Identifier
1295365963
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8176 Issued in LA
Practice address
2006 Tower Dr
Monroe, LA 71201-5036
Phone
(318) 325-0601
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 8176 LA Primary

Addresses

Primary practice location

2006 Tower Dr
Monroe, LA 71201-5036

Mailing address

2006 Tower Dr
Monroe, LA 71201-5036
Phone (318) 325-0601

Other practice location 1

2330 Hwy LA 15
Winnsboro, LA 71295
Phone (318) 535-2640

Other practice location 2

205 Circle Dr
West Monroe, LA 71291-5305
Phone (318) 381-8520

Other practice location 3

2401 Oliver Rd
Monroe, LA 71201-2934
Phone (318) 381-8520

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

LicenseStateTypeSpecialty
8176LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christi Holt Ma CCC SLP Speech-Language Pathologist PastSince Jan 1, 2020 Accepting new patients
Ann Tubre, Lotr LLC PastSince Jan 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1295365963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015036",
            "telephone_number": "318-325-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 TOWER DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015036",
            "telephone_number": "318-325-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Hwy LA 15",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "71295",
            "country_code": "US",
            "telephone_number": "318-535-2640",
            "fax_number": "888-616-5693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915305",
            "country_code": "US",
            "telephone_number": "318-381-8520",
            "fax_number": "888-616-5693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Oliver Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712012934",
            "country_code": "US",
            "telephone_number": "318-381-8520",
            "fax_number": "888-616-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ALLYSON",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.