Ashley Balkcom, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24905 Issued in TX

Practice address

246 Haley Dr
Center, TX 75935-9798

Phone

(936) 598-6286

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1831679794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HALEY DR",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759359798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HALEY DR",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759359798",
            "telephone_number": "936-598-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKCOM",
        "first_name": "ASHLEY",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asclepion Health Management, PLLC
• Amanda Nadean Ashton, FNP-C
• Aurora Concepts, PLLC
• Albert Auther Axen, RPH
• Danna Yvonne Bailey-Watts, LCDC
• Anita Dawn Barnes, FNP-C
• Carla Evette Barnes, LVN
• Michael H Belgard, PA
• Bianca J Bennett, LVN
• Valerie Berry

• Speech-Language Pathologist in Center, TX
• Providers in Center, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.