Active NPI
Alaine Joyce Gervais, M.A., CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1073669388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9774
- Practice address
- 11602 Lake Underhill Rd Ste 129
Orlando, FL 32825-4460 - Phone
- (407) 277-5400
- Fax
- (321) 281-4942
- NPI assigned
- Jan 27, 2007
- Last updated
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | SA9774 | FL | Primary |
Addresses
Primary practice location
11602 Lake Underhill Rd Ste 129
Orlando, FL 32825-4460
Mailing address
13844 Eliot Ave
Orlando, FL 32827-7543
Phone (407) 361-5429
Other practice location 1
1525 S Alafaya Trl
Suite 101
Orlando, FL 32828-8926
Phone (407) 277-5400
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9774 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1073669388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13844 ELIOT AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277543",
"telephone_number": "407-361-5429",
"fax_number": "321-281-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11602 LAKE UNDERHILL RD STE 129",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254460",
"telephone_number": "407-277-5400",
"fax_number": "321-281-4942"
}
],
"practiceLocations": [
{
"address_1": "1525 S Alafaya Trl",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328288926",
"country_code": "US",
"telephone_number": "407-277-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERVAIS",
"first_name": "ALAINE",
"middle_name": "JOYCE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.