Active NPI
Alexzandrea Vertucci, CCC-SLP
- Speech-Language Pathologist
- Wylie, TX
National Provider Identifier
1003535964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113189
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | 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.
-
- Physical Therapist
- Georgetown, TX
- NPI 1952531154
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
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.