Individual provider Active NPI

Alexandra Campbell, SLP

  • Speech-Language Pathologist
  • Delray Beach, FL
National Provider Identifier
1093523490
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22871 Issued in FL
Practice address
1200 NW 17TH Ave Ste 12
Delray Beach, FL 33445-2512
Phone
(516) 492-9177
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22871 FL Primary

Addresses

Primary practice location

1200 NW 17TH Ave Ste 12
Delray Beach, FL 33445-2512

Mailing address

821 Lake Amick Dr
Niceville, FL 32578-1739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213001685 FL Practitioner - Qualified Speech Language Pathologist 2163952664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Speech Pathology PSGroup PAC ID 5395889497, 4 clinicians

Practice addresses (Care Compare)

350 D Racetrack Rd NW
Fort Walton Beach, FL 32547-1699
Phone (253) 851-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22871FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc Speech-Language Pathologist CurrentSince Jan 10, 2025 Accepting new patients
Harbor Speech Pathology, PS Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

1200 NW 17th Ave
Ste 12
Delray Beach, FL 33445
Phone (561) 270-2280

26E Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 226-6633

350G Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 374-3125

5202 Olympic Dr
Ste 100
Gig Harbor, WA 98335
Phone (253) 318-6665

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.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1093523490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 LAKE AMICK DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 17TH AVE STE 12",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452512",
            "telephone_number": "516-492-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "22871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.