Active NPI
Alyssa Ives
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1306315296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113397
- Practice address
- 11777 FM 1960 Rd W
Houston, TX 77065-3513 - Phone
- (832) 828-3552
- NPI assigned
- Nov 20, 2018
- 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 | 113397 | TX | Primary |
Addresses
Primary practice location
11777 FM 1960 Rd W
Houston, TX 77065-3513
Mailing address
11777 FM 1960 Rd W
Houston, TX 77065-3513
Other practice location 1
11777 Fm 1960 Rd W
Houston, TX 77065-3513
Phone (832) 828-3552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14177714 | Other | TX | ASHA |
| 113397 | Other | TX | TEXAS DEPARTMENT OF LICENSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 113397 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1306315296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11777 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653513",
"telephone_number": "832-828-3552"
}
],
"practiceLocations": [
{
"address_1": "11777 Fm 1960 Rd W",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770653513",
"country_code": "US",
"telephone_number": "832-828-3552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVES",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14177714",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LICENSING",
"identifier": "113397",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.