Mary Allison Ormon Rakestraw, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2821 Issued in MS

Practice address

913 Beck Springs Rd
Hickory Flat, MS 38633-9184

Phone

(662) 668-0612

NPI assigned

Feb 8, 2008

Last updated

Aug 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1740468081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 BECK SPRINGS RD",
            "city": "HICKORY FLAT",
            "state": "MS",
            "postal_code": "386339184",
            "telephone_number": "662-668-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BECK SPRINGS RD",
            "city": "HICKORY FLAT",
            "state": "MS",
            "postal_code": "386339184",
            "telephone_number": "662-668-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKESTRAW",
        "first_name": "MARY ALLISON",
        "middle_name": "ORMON",
        "credential": "ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hickory Flat Clinic Association Inc
• Hickory Flat Clinic, LLC
• Lauren Kirkman, FNP-C
• Stephanie Elaine Thompson, FNP
• Tammy L Thompson, LPN

• Speech-Language Pathologist in Hickory Flat, MS
• Providers in Hickory Flat, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.