Ashley Ivy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3609 Issued in MS

Practice address

1301 West Government Street
Suite 104
Brandon, MS 39042

Phone

(601) 591-7535

Fax

(601) 591-7540

NPI assigned

Aug 10, 2011

Last updated

Apr 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Gilbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Peak Therapy LLC

  • Physical Therapist
  • Brandon, MS
  • NPI 1215896600

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1831478676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WEST BEACON STREET",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WEST GOVERNMENT STREET",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39042",
            "telephone_number": "601-591-7535",
            "fax_number": "601-591-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GILBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Inpatient Care, PLLC
• Integrity Healthcare Agency, LLC
• Ashlea Renfroe Irby, OT
• Isd Brandon LLC (Brandon Renal Center)
• James Austin Ishee
• J. Brad Madden, MD Family Medicine
• Makayla Jacks
• Callen Deyoung Jackson, DMD
• Koscher Denee Jackson, NP
• Natosha Jackson

• Speech-Language Pathologist in Brandon, MS
• Providers in Brandon, 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 Apr 14, 2020; 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.