Individual provider Active NPI

Ashlea D. Stafford, MA/CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1487891172
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8020 Issued in NC
Practice address
3907A W Market St
Greensboro, NC 27407-1303
Phone
(336) 279-9008
Fax
(336) 740-9099
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202005589 VA
Speech-Language Pathologist 235Z00000X 8020 NC Primary

Addresses

Primary practice location

3907A W Market St
Greensboro, NC 27407-1303

Mailing address

2805 Huntsman CT
Jamestown, NC 27282-8649
Phone (336) 455-3467

Other practice location 1

2805 Huntsman Ct
Jamestown, NC 27282-8649
Phone (336) 455-3467

Other names 1

  • Ms. Ashlea D. Ours Former 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8020NCMDSpeech-Language Pathologist
2202005589VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interact Pediatric Therapy Services, PLLC Speech-Language Pathologist CurrentSince Jan 21, 2024 Accepting new patients

Locations

3907 W Market St
#A
Greensboro, NC 27407
Phone (336) 279-9008

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1487891172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 HUNTSMAN CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828649",
            "telephone_number": "336-455-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907A W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071303",
            "telephone_number": "336-279-9008",
            "fax_number": "336-740-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Huntsman Ct",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NC",
            "postal_code": "272828649",
            "country_code": "US",
            "telephone_number": "336-455-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ASHLEA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005589",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEA",
            "last_name": "OURS",
            "middle_name": "D.",
            "prefix": "MS.",
            "credential": "CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.