Active NPI
Alyssa Swenson McAninch
- Speech-Language Pathologist
- Lindale, TX
National Provider Identifier
1013551290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111173
- Practice address
- 19998 Saddlebrook Dr
Lindale, TX 75771-6382 - Phone
- (903) 882-6400
- Fax
- (903) 882-6404
- NPI assigned
- Oct 31, 2019
- 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 | 111173 | TX | Primary |
Addresses
Primary practice location
19998 Saddlebrook Dr
Lindale, TX 75771-6382
Mailing address
21412 Boone Dr
Bullard, TX 75757-0120
Phone (936) 462-3799
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111173 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1013551290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21412 BOONE DR",
"city": "BULLARD",
"state": "TX",
"postal_code": "757570120",
"telephone_number": "936-462-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19998 SADDLEBROOK DR",
"city": "LINDALE",
"state": "TX",
"postal_code": "757716382",
"telephone_number": "903-882-6400",
"fax_number": "903-882-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANINCH",
"first_name": "ALYSSA",
"middle_name": "SWENSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.