Individual provider Active NPI

Mary Annez Ray-Allen, M.ED., CCC/SLP

  • Speech-Language Pathologist
  • Tuscaloosa, AL
National Provider Identifier
1790984615
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2649 Issued in AL
Practice address
700 University Blvd E
Room 145
Tuscaloosa, AL 35401-2028
Phone
(205) 348-1834
Fax
(205) 348-1845
NPI assigned
Jul 11, 2007
Last updated
Jun 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2649 AL Primary

Addresses

Primary practice location

700 University Blvd E
Room 145
Tuscaloosa, AL 35401-2028

Mailing address

13966 Elam Cir
Northport, AL 35475-3574
Phone (205) 333-9097

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 Education

State licenses

LicenseStateTypeSpecialty
2649ALMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1790984615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13966 ELAM CIR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354753574",
            "telephone_number": "205-333-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY BLVD E",
            "address_2": "ROOM 145",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012028",
            "telephone_number": "205-348-1834",
            "fax_number": "205-348-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY-ALLEN",
        "first_name": "MARY",
        "middle_name": "ANNEZ",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.