Active NPI
Kathy Allen, SLP
- Speech-Language Pathologist
- Stephenville, TX
National Provider Identifier
1831452499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10880
- Practice address
- 515 W Lingleville Rd
Stephenville, TX 76401-2211 - Phone
- (254) 965-3611
- Fax
- (254) 965-3618
- NPI assigned
- Jun 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10880 | TX | Primary |
Addresses
Primary practice location
515 W Lingleville Rd
Stephenville, TX 76401-2211
Mailing address
515 W Lingleville Rd
Stephenville, TX 76401-2211
Phone (254) 965-3611
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10880 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Countryside Therapy Group Home Health, LLC | Past | Accepting new patients | |
| Countryside Therapy Group, Inc | Speech-Language Pathologist | 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.
-
- Home Health Agency
- Stephenville, TX
- NPI 1952713869
-
- Rehabilitation Clinic/Center
- Stephenville, TX
- NPI 1710999289
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1831452499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W LINGLEVILLE RD",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012211",
"telephone_number": "254-965-3611",
"fax_number": "254-965-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W LINGLEVILLE RD",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012211",
"telephone_number": "254-965-3611",
"fax_number": "254-965-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KATHY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "10880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.