Active NPI
Ashley Nicole Mitchell, SLP ASSISTANT
- Speech-Language Assistant
- Tyler, TX
National Provider Identifier
1346796117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 38975
- Practice address
- 100 E Ferguson St Ste 1204
Tyler, TX 75702-5700 - Phone
- (903) 509-2040
- Fax
- (903) 534-5873
- NPI assigned
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 38975 | TX | Primary |
Addresses
Primary practice location
100 E Ferguson St Ste 1204
Tyler, TX 75702-5700
Mailing address
152 LR 760
Ashdown, AR 71822
Phone (903) 278-2170
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 |
|---|---|---|---|
| 38975 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1346796117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 LR 760",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "71822",
"telephone_number": "903-278-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E FERGUSON ST STE 1204",
"city": "TYLER",
"state": "TX",
"postal_code": "757025700",
"telephone_number": "903-509-2040",
"fax_number": "903-534-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "SLP ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "38975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.