Active NPI
Allison Mormann
- Speech-Language Pathologist
- Coralville, IA
National Provider Identifier
1639390180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002403
- Practice address
- 2461 10TH St Ste 203
Coralville, IA 52241-1201 - Phone
- (319) 358-6323
- NPI assigned
- May 1, 2007
- Last updated
- Oct 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2005019579 | MO | |
| Speech-Language Pathologist | 235Z00000X | 002403 | IA | Primary |
Addresses
Primary practice location
2461 10TH St Ste 203
Coralville, IA 52241-1201
Mailing address
10423 202ND Ave
Anamosa, IA 52205-7894
Phone (417) 840-8806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466206901 | Medicaid | MO |
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 |
|---|---|---|---|
| 002403 | IA | MD | Speech-Language Pathologist |
| 2005019579 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1639390180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10423 202ND AVE",
"city": "ANAMOSA",
"state": "IA",
"postal_code": "522057894",
"telephone_number": "417-840-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2461 10TH ST STE 203",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411201",
"telephone_number": "319-358-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORMANN",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2005019579",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "002403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466206901",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.