Individual provider Active NPI

Allison Lynne King, MS CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1942058219
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP19839 Issued in CA
Practice address
3550 Stevens Creek Blvd Ste 200
San Jose, CA 95117-1031
Phone
(408) 244-2005
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL016909 PA
Speech-Language Pathologist 235Z00000X SP19839 CA Primary

Addresses

Primary practice location

3550 Stevens Creek Blvd Ste 200
San Jose, CA 95117-1031

Mailing address

3550 Stevens Creek Blvd Ste 200
San Jose, CA 95117-1031

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

LicenseStateTypeSpecialty
SP19839CAMDSpeech-Language Pathologist
SL016909PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teach Social Therapy Group. a Prof. SLP Corp. Speech-Language Pathologist CurrentSince May 12, 2024 Accepting new patients

Locations

3550 Stevens Creek Blvd
Ste 200
San Jose, CA 95117
Phone (408) 244-2005

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1942058219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 STEVENS CREEK BLVD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 STEVENS CREEK BLVD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171031",
            "telephone_number": "408-244-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ALLISON",
        "middle_name": "LYNNE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016909",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.