Active NPI
Allene Balgord, M.S., CCC-SLP
- Speech-Language Pathologist
- Palm Coast, FL
National Provider Identifier
1831504463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3752
- Practice address
- 25 Pine Cone Dr
Palm Coast, FL 32164-8423 - Phone
- (386) 264-6867
- Fax
- (800) 796-0926
- NPI assigned
- Jun 23, 2014
- Last updated
- Jun 23, 2014
- 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 | S3752 | MS | Primary |
Addresses
Primary practice location
25 Pine Cone Dr
Palm Coast, FL 32164-8423
Mailing address
2006 S Cobblestone CV
Brandon, MS 39042-2087
Phone (601) 966-1626
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3752 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1831504463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 S COBBLESTONE CV",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422087",
"telephone_number": "601-966-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PINE CONE DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321648423",
"telephone_number": "386-264-6867",
"fax_number": "800-796-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALGORD",
"first_name": "ALLENE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.