{"npi":"1124250329","type":"NPI-1","status":"active","name":{"display":"Tina Allis Slp","other":[],"first":"TINA","last":"ALLIS","middle":"L","credential":"SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"VA","license":"2202004828"}]},"addresses":[{"purpose":"LOCATION","street_1":"1559 TIMBERLAKE DR","city":"LYNCHBURG","state":"VA","postal_code":"245026935","country_code":"US","phone":"4345824533"},{"purpose":"MAILING","street_1":"1559 TIMBERLAKE DR","city":"LYNCHBURG","state":"VA","postal_code":"245026935","country_code":"US","phone":"4346160567","fax":"4345824533"}],"license":{"state":"VA","number":"2202004828"},"identifiers":[{"type_code":"01","label":"Other","value":"15436342","state":"VA","issuer":"CAQH"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-08-20","last_updated":"2024-06-25","_meta":{"source":"NPPES","snapshot_date":"2024-06-25","doc_url":"https://findmynpi.com/api"}}