Individual provider Active NPI

Allison McIntosh, SLP

  • Speech-Language Pathologist
  • Jefferson, LA
National Provider Identifier
1477799211
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5650 Issued in LA
Practice address
101 River Rd Ste 112
Jefferson, LA 70121-4226
Phone
(504) 828-7696
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 5650 LA Primary

Addresses

Primary practice location

101 River Rd Ste 112
Jefferson, LA 70121-4226

Mailing address

101 River Rd Ste 112
Jefferson, LA 70121-4226
Phone (504) 828-7696

Other identifiers 1

IdentifierTypeStateIssuer
5650OtherLALOUISIANA BD OF EXAMINERS SPEECH LANG PATHOLOGY & AUDIOLOGY

Other names 1

  • Allison Cardwell Professional name

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
5650LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1477799211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER RD STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER RD STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ALLISON",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BD OF EXAMINERS SPEECH LANG PATHOLOGY & AUDIOLOGY",
            "identifier": "5650",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "CARDWELL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.