Active NPI
Alison D Radtke, SLP
- Speech-Language Pathologist
- Burkburnett, TX
National Provider Identifier
1447730114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100423
- Practice address
- 1119 S Red River Expy
Burkburnett, TX 76354-3714 - Phone
- (940) 631-3956
- NPI assigned
- Aug 21, 2018
- Last updated
- Aug 21, 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 | 100423 | TX | Primary |
Addresses
Primary practice location
1119 S Red River Expy
Burkburnett, TX 76354-3714
Mailing address
1119 S Red River Expy
Burkburnett, TX 76354-3714
Phone (940) 631-3956
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100423 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1447730114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 S RED RIVER EXPY",
"city": "BURKBURNETT",
"state": "TX",
"postal_code": "763543714",
"telephone_number": "940-631-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 S RED RIVER EXPY",
"city": "BURKBURNETT",
"state": "TX",
"postal_code": "763543714",
"telephone_number": "940-631-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADTKE",
"first_name": "ALISON",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burkburnett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.