Active NPI
Sonja M. Allison, SLP - CCC
- Speech-Language Pathologist
- Old Fort, NC
National Provider Identifier
1376737767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4522
- Practice address
- 202 North Spring St.
Old Fort, NC 28762-0055 - Phone
- (828) 668-4190
- NPI assigned
- Aug 29, 2007
- Last updated
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4522 | NC | Primary |
Addresses
Primary practice location
202 North Spring St.
Old Fort, NC 28762-0055
Mailing address
PO Box 55
Old Fort, NC 28762-0055
Phone (828) 668-4190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401099 | Medicaid | NC |
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 |
|---|---|---|---|
| 4522 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1376737767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"city": "OLD FORT",
"state": "NC",
"postal_code": "287620055",
"telephone_number": "828-668-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 NORTH SPRING ST.",
"city": "OLD FORT",
"state": "NC",
"postal_code": "287620055",
"telephone_number": "828-668-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "SONJA",
"middle_name": "M.",
"credential": "SLP - CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7401099",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Fort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.