Active NPI
Allie Ames
- Speech-Language Pathologist
- Daytona Beach, FL
National Provider Identifier
1639696909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21102
- Practice address
- 210 S Beach St Ste 202
Daytona Beach, FL 32114-4430 - Phone
- (386) 872-4892
- NPI assigned
- Aug 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA21102 | FL | Primary |
Addresses
Primary practice location
210 S Beach St Ste 202
Daytona Beach, FL 32114-4430
Mailing address
210 S Beach St Ste 202
Daytona Beach, FL 32114-4430
Phone (386) 212-7038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA21102 | Other | FL | SA21102 |
| SZ10026 | Other | FL | SZ10026 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.thehopegroup4.com |
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 |
|---|---|---|---|
| SA21102 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1639696909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S BEACH ST STE 202",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144430",
"telephone_number": "386-212-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S BEACH ST STE 202",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144430",
"telephone_number": "386-872-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMES",
"first_name": "ALLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-27",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SA21102",
"identifier": "SA21102",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SZ10026",
"identifier": "SZ10026",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.thehopegroup4.com",
"affiliation": "N",
"address_1": "201 Thornberry Branch Ln",
"city": "Daytona Beach",
"state": "FL",
"country_code": "US",
"postal_code": "321243652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.