Individual provider Active NPI

Alexzandrea Vertucci, CCC-SLP

  • Speech-Language Pathologist
  • Wylie, TX
National Provider Identifier
1003535964
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113189 Issued in TX
Practice address
3000 Wylie East Dr
Wylie, TX 75098-5701
Phone
(972) 429-3150
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113189 TX Primary

Addresses

Primary practice location

3000 Wylie East Dr
Wylie, TX 75098-5701

Mailing address

3000 Wylie East Dr
Wylie, TX 75098-5701
Phone (972) 429-3150

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://login.frontlineeducation.com/login?signin=1bf6dbe43ddf555f07c13749dd22706c&productId=estarV3&clientId=estarV3#/login

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311000068 TX Practitioner - Qualified Speech Language Pathologist 8628414885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jan 27, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jan 27, 2024 Accepting new patients

Locations

8100 Precinct Line Rd
Colleyville, TX 76034
Phone (682) 244-4317

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

Organizations & group practices 2

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1003535964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WYLIE EAST DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750985701",
            "telephone_number": "972-429-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WYLIE EAST DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750985701",
            "telephone_number": "972-429-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTUCCI",
        "first_name": "ALEXZANDREA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.frontlineeducation.com/login?signin=1bf6dbe43ddf555f07c13749dd22706c&productId=estarV3&clientId=estarV3#/login",
            "affiliation": "N",
            "endpointDescription": "documentation system",
            "address_1": "1313 Linden Ln",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750406935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.