Active NPI
Ashley Khatri, M.A.,CCC-SLP
- Speech-Language Pathologist
- Maxwell Afb, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8708
- Practice address
- 300 Twining St
42D Medical Group-Mental Health Clinic
Maxwell Afb, AL 36112-6027 - Phone
- (334) 953-4415
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | SA 8708 | FL | Primary |
Addresses
Primary practice location
300 Twining St
42D Medical Group-Mental Health Clinic
Maxwell Afb, AL 36112-6027
Mailing address
300 S. Twining Street, BLDG 760
42D Medical Group-Mental Health Clinic
Maxwell Afb, AL 36112-6219
Phone (334) 953-4415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890469300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2703 University Blvd E
Tuscaloosa, AL 35404-3226
3950 Lefevre Dr
Kettering, OH 45429-3372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 8708 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1502 Main St
Greensboro, AL 36744
Phone (205) 575-1609
2703 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 248-7064
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": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1952340341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S. TWINING STREET, BLDG 760",
"address_2": "42D MEDICAL GROUP-MENTAL HEALTH CLINIC",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126219",
"telephone_number": "334-953-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING ST",
"address_2": "42D MEDICAL GROUP-MENTAL HEALTH CLINIC",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATRI",
"first_name": "ASHLEY",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890469300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maxwell Afb, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.