Individual provider Active NPI

Aleksandra Lutovsky, SLP

  • Speech/Language/Hearing Specialist/Technologist
  • Lake Placid, FL
National Provider Identifier
1033441811
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
SA15839 Issued in FL
Practice address
1303 Lake Clay Dr
Lake Placid, FL 33852-6987
Phone
(423) 999-1144
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 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 77357-SP-SL MA
Speech/Language/Hearing Specialist/Technologist 235500000X SA15839 FL Primary

Addresses

Primary practice location

1303 Lake Clay Dr
Lake Placid, FL 33852-6987

Mailing address

204 S Main Ave # 117
Lake Placid, FL 33852-1810
Phone (423) 999-1144

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
SA15839FLMDSpeech/Language/Hearing Specialist/Technologist
77357-SP-SLMAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1033441811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S MAIN AVE # 117",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338521810",
            "telephone_number": "423-999-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 LAKE CLAY DR",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338526987",
            "telephone_number": "423-999-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTOVSKY",
        "first_name": "ALEKSANDRA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77357-SP-SL",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "FL",
            "license": "SA15839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.