Ashley Modisette

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1301 Eden Dr
Longview, TX 75605-4102

Phone

(903) 238-8085

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1982972261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 EDEN DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054102",
            "telephone_number": "903-238-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODISETTE",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Moberg
• Mobility Repair Specialists, Inc. (Texas Medical Supply Longview)
• Mobility Repair Specialists, Inc. (Texas Medical Suppy Longview)
• John Erkel Mobley, C.R.N.A.
• Taylor Mobley, LPC ASSOCIATE
• Barbara Jane Modisette, ED.D., LPC, NCSP,
• Jessica Denise Modisette, APRN
• Tanya Renee Molett
• Deborah Lee Monroe, PT
• Bonnie Montandon

• Speech-Language Pathologist in Longview, TX
• Providers in Longview, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.