Allyson Diane Bales

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

302 N Independence St Ste 802
Enid, OK 73701-4046

Phone

(580) 334-1856

NPI assigned

Apr 9, 2024

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gonzales SLP Services, PLLC

  • Speech-Language Pathologist
  • Enid, OK
  • NPI 1679296628
  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1750134623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 SAGE BRUSH PL",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993477",
            "telephone_number": "405-501-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N INDEPENDENCE ST STE 802",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014046",
            "telephone_number": "580-334-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "ALLYSON",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Bailey, BA CM II
• Ronald Wayne Bailey, LCSW
• Dora Baker
• Kory Baker, PTA
• Michelle Ranae Baldwin, RN
• Baptist Healthcare of Oklahoma Inc
• Baptist Healthcare of Oklahoma Inc
• Baptist Healthcare of Oklahoma, Inc
• Baptist Village Retirement Communities of Oklahoma Inc
• Baptist Village Retirement Communities of Oklahoma Inc

• All providers in Enid, OK
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.