Individual provider Active NPI

Jill Allen, SPA

  • Speech-Language Assistant
  • Texarkana, TX
National Provider Identifier
1831440486
Registry record updated Sep 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
32901 Issued in TX
Practice address
3410 Magnolia St
Texarkana, TX 75503-3729
Phone
(903) 792-3003
Fax
(903) 794-1005
NPI assigned
Sep 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 32901 TX Primary

Addresses

Primary practice location

3410 Magnolia St
Texarkana, TX 75503-3729

Mailing address

3410 Magnolia St
Texarkana, TX 75503-3729
Phone (903) 792-3003

Other identifiers 1

IdentifierTypeStateIssuer
32901OtherTXLICENSE

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

LicenseStateTypeSpecialty
32901TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Options of Texarkana, Inc. Past Accepting new patients
Therapy Options of Texarkana, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1831440486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033729",
            "telephone_number": "903-792-3003",
            "fax_number": "903-794-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033729",
            "telephone_number": "903-792-3003",
            "fax_number": "903-794-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "SPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "32901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "32901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.