Individual provider Active NPI

Allison Jaclyn Stokes

  • Speech-Language Pathologist
  • Moraine, OH
National Provider Identifier
1851829055
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2017322-SP Issued in OH
Practice address
2600 Holman St
Moraine, OH 45439-1632
Phone
(937) 499-1450
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2017322-SP OH Primary

Addresses

Primary practice location

2600 Holman St
Moraine, OH 45439-1632

Mailing address

32 Churchill Manor CT
Middletown, OH 45044-3355
Phone (937) 510-8428

Other practice location 1

3000 Glengarry Dr
Kettering, OH 45420-1227
Phone (937) 499-1550

Other practice location 2

1 E Wren Cir
Kettering, OH 45420-2955
Phone (937) 499-1850

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
2017322-SPOHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1851829055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHURCHILL MANOR CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450443355",
            "telephone_number": "937-510-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HOLMAN ST",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391632",
            "telephone_number": "937-499-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Glengarry Dr",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454201227",
            "country_code": "US",
            "telephone_number": "937-499-1550",
            "fax_number": "937-499-1598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 E Wren Cir",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454202955",
            "country_code": "US",
            "telephone_number": "937-499-1850",
            "fax_number": "937-499-1859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "ALLISON",
        "middle_name": "JACLYN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2017322-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.