Active NPI
Alyssa Long
- Speech-Language Pathologist
- Monroe City, MO
National Provider Identifier
1629446463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2015024011
- Practice address
- 420 N Washington St
Monroe City, MO 63456-1345 - Phone
- (573) 735-4631
- NPI assigned
- Sep 10, 2015
- Last updated
- Jul 16, 2025
- 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 | 2015024011 | MO | Primary |
Addresses
Primary practice location
420 N Washington St
Monroe City, MO 63456-1345
Mailing address
420 N Washington St
Monroe City, MO 63456-1345
Phone (573) 735-4631
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 |
|---|---|---|---|
| 2015024011 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1629446463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N WASHINGTON ST",
"city": "MONROE CITY",
"state": "MO",
"postal_code": "634561345",
"telephone_number": "573-735-4631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N WASHINGTON ST",
"city": "MONROE CITY",
"state": "MO",
"postal_code": "634561345",
"telephone_number": "573-735-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2015024011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe City, MO
- Hannibal Clinic Operations, L.L.C.
- Hannibal Regional Healthcare System, Inc (Monroe City Family Practice)
- Dean Richard Hull, DDS
- Ashley Marie Lanpher, RN BSN APRN FNP-C
- Learning Opportunities, Quality Works, Inc.
- Matt Maxwell, R.PH.
- Adrian Marie Mehrer
- Jaclyn Miller
- Monroe City Ambulance District
- Monroe City Family Chiropractic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.