Individual provider Active NPI

Ally W Smith, SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1871849893
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4778 Issued in TN
Practice address
604 Black St
Chattanooga, TN 37405-3300
Phone
(423) 708-2014
Fax
(833) 377-0537
NPI assigned
Jul 27, 2012
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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 4778 TN Primary

Addresses

Primary practice location

604 Black St
Chattanooga, TN 37405-3300

Mailing address

1116 S Crest Rd
Rossville, GA 30741-1508
Phone (423) 580-3219

Other practice location 1

6919 Lakeshore Dr
Chattanooga, TN 37416-1077
Phone (423) 580-3219

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amplified Abilities LLC Speech-Language Pathologist CurrentSince Aug 1, 2020 Accepting new patients
Signal Centers Inc Speech-Language Pathologist PastSince Oct 6, 2024 Accepting new patients
Jones Therapy Services LLC Speech-Language Pathologist Past Accepting new patients

Locations

4107 Mayfair Ave
Chattanooga, TN 37411
Phone (423) 708-2014

604 Black St
Chattanooga, TN 37405
Phone (423) 708-2014

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1871849893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S CREST RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411508",
            "telephone_number": "423-580-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 BLACK ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053300",
            "telephone_number": "423-708-2014",
            "fax_number": "833-377-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6919 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374161077",
            "country_code": "US",
            "telephone_number": "423-580-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLY",
        "middle_name": "W",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.