Active NPI
Tawannah G Allen
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1851981336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4381
- Practice address
- 11319 Ridgegate Dr
Raleigh, NC 27617-8609 - Phone
- (919) 414-9378
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 4381 | NC | Primary |
Addresses
Primary practice location
11319 Ridgegate Dr
Raleigh, NC 27617-8609
Mailing address
PO Box 181
Morrisville, NC 27560
Phone (919) 414-9378
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Raleigh | Direct |
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 |
|---|---|---|---|
| 4381 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1851981336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 181",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "27560",
"telephone_number": "919-414-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11319 RIDGEGATE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178609",
"telephone_number": "919-414-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TAWANNAH",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4381",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Raleigh",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "information",
"address_1": "11319 Ridgegate Dr",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276178609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
- Natalia Ta'Nei Allen
- Robert Brian Allen, D.D.S.
- Robert L Allen, MD
- Sheri Defrees Allen, RD, RDN, LDN
- Stacy Ralph Allen, P.A.-C
- Tierra Michelle Allen, LCSWA
- Tionne Allen
- Allergy Partners, PLLC (Allergy Partners of the Triangle)
- Allergy Partners, PLLC (Allergy Partners of Raleigh)
- John Granville Alley Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.