Organization Active NPI

Alisa Prewitt and Associates

  • Speech-Language Pathologist
  • Katy, TX
National Provider Identifier
1093139511
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100951 Issued in TX
Legal business name
ALISA PREWITT AND ASSOCIATES
Practice address
24044 Cinco Village Center Blvd
Ste 100
Katy, TX 77494-8432
Phone
(281) 392-8173
Fax
(281) 392-8239
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mrs. Alisa Prewitt, M.A.
Title
Owner
Phone
(281) 392-8173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 100951 TX Primary

Addresses

Primary practice location

24044 Cinco Village Center Blvd
Ste 100
Katy, TX 77494-8432

Mailing address

22507 Mossy Trails CT
Katy, TX 77494-2255
Phone (281) 392-8173

Other identifiers 1

IdentifierTypeStateIssuer
160513102MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1093139511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22507 MOSSY TRAILS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942255",
            "telephone_number": "281-392-8173",
            "fax_number": "281-392-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24044 CINCO VILLAGE CENTER BLVD",
            "address_2": "STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948432",
            "telephone_number": "281-392-8173",
            "fax_number": "281-392-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISA PREWITT AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "PREWITT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-392-8173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160513102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.