Active NPI
Alissa Varlamova, CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2626 S Rainbow Blvd Ste 103
Las Vegas, NV 89146-5190 - Phone
- (310) 243-6763
- NPI assigned
- May 9, 2020
- 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 | Primary |
Addresses
Primary practice location
2626 S Rainbow Blvd Ste 103
Las Vegas, NV 89146-5190
Mailing address
2626 S Rainbow Blvd Ste 103
Las Vegas, NV 89146-5190
Phone (310) 243-6763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226003741 | NV | Practitioner - Qualified Speech Language Pathologist | 8527411677 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Balanced Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Bpe LLC | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehab Inc | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
365 W A St
Fallon, NV 89406
Phone (775) 428-2428
2626 S Rainbow Blvd
Ste 103
Las Vegas, NV 89146
Phone (310) 243-6763
5255 Kietzke Ln
Reno, NV 89511
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1386420461
NV, Speech-Language Pathologist
-
- Hearing and Speech Clinic/Center
- Las Vegas, NV
- NPI 1487430393
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1104448455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 S RAINBOW BLVD STE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465190",
"telephone_number": "310-243-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 S RAINBOW BLVD STE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465190",
"telephone_number": "310-243-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARLAMOVA",
"first_name": "ALISSA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-09",
"last_updated": "2023-12-20",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.