Individual provider Active NPI

Alexandra Sharp

  • Speech-Language Pathologist
  • Dunn Loring, VA
National Provider Identifier
1003257197
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007041 Issued in VA
Practice address
8000 Iliff Dr
Dunn Loring, VA 22027-1235
Phone
(703) 560-1000
NPI assigned
Jul 17, 2013
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 41YS00964900 NJ
Speech-Language Pathologist 235Z00000X 2202007041 VA Primary

Addresses

Primary practice location

8000 Iliff Dr
Dunn Loring, VA 22027-1235

Mailing address

1109 Lakewood Dr SW
Vienna, VA 22180-6526
Phone (703) 281-1560

Other practice location 1

12052 N Shore Dr
Reston, VA 20190-4969
Phone (703) 481-0528

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

State licenses

LicenseStateTypeSpecialty
41YS00964900NJMDSpeech-Language Pathologist
2202007041VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1003257197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LAKEWOOD DR SW",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806526",
            "telephone_number": "703-281-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ILIFF DR",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271235",
            "telephone_number": "703-560-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12052 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201904969",
            "country_code": "US",
            "telephone_number": "703-481-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00964900",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn Loring, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.