Active NPI
Allison L Roberts, MS, CCC-SLP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1710479258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242102
- Practice address
- 1405 E Burnett Ave
Louisville, KY 40217-1577 - Phone
- (502) 588-0736
- Fax
- (502) 588-0736
- NPI assigned
- May 31, 2018
- Last updated
- Aug 30, 2022
- 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 | 22006931A | IN | |
| Speech-Language Pathologist | 235Z00000X | 242102 | KY | Primary |
Addresses
Primary practice location
1405 E Burnett Ave
Louisville, KY 40217-1577
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 272-5395
Other names 1
- Ms. Allison L Wiseley
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006931A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Speech Spot, LLC | Speech-Language Pathologist | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Louisville, KY
- NPI 1295471621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1710479258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-272-5395",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 E BURNETT AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171577",
"telephone_number": "502-588-0736",
"fax_number": "502-588-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ALLISON",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006931A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "242102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "WISELEY",
"middle_name": "L",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
- Robert J. Homm, MD, PSC (Fertility & Endocrine Associates)
- Robert W. Linker III, MD, PLLC
- Kristy Marie Robertaccio, MSW
- Taylor Roberts Carneal, LCSW
- Rebecca L Roberts-Kerns, LPAT
- Allison S Roberts, APRN
- Amanda Roberts, OTD, OTR/L
- Andrea Pauley Roberts, DNP, APRN, CPNP-PC
- Anna Grace Roberts
- Carrie Anne Roberts, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.