Individual provider Active NPI

Allison Faith Ramezan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Glenville, WV
National Provider Identifier
1497411425
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1976 Issued in WV
Practice address
99 Fairground Rd
Glenville, WV 26351-1305
Phone
(304) 462-7338
NPI assigned
Nov 15, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 SLP-1976 WV Primary

Addresses

Primary practice location

99 Fairground Rd
Glenville, WV 26351-1305

Mailing address

454 Vanhorn Dr
Glenville, WV 26351-1405
Phone (204) 462-7386

Other names 1

  • Allison Faith Fisher 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 Science

State licenses

LicenseStateTypeSpecialty
SLP-1976WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1497411425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 VANHORN DR",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511405",
            "telephone_number": "204-462-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 FAIRGROUND RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511305",
            "telephone_number": "304-462-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEZAN",
        "first_name": "ALLISON",
        "middle_name": "FAITH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "FISHER",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.