Alyssa C Sanders, SLP
Individual provider Active NPI Speech-Language Pathologist · Corpus Christi, TX
NPI 1104495860 · NPPES record last updated Jun 17, 2021
Key facts
- NPI
- 1104495860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 118211 (TX)
- Practice address
- 4202 Hermosa Dr
Corpus Christi, TX 78411-4535 - Phone
- (361) 728-9192
- Fax
- (361) 334-1574
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4202 Hermosa Dr
Corpus Christi, TX 78411-4535
Phone (361) 728-9192
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210624002172 | TX | Practitioner - Qualified Speech Language Pathologist | 3173924420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118211 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Place for Speech | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118211 | TX | Yes |
Addresses
Primary practice location
4202 Hermosa Dr
Corpus Christi, TX 78411-4535
Mailing address
PO Box 271416
Corpus Christi, TX 78427-1416
Phone (361) 334-1136
Other providers in Corpus Christi, TX
- Suzanne Sanchez
- Tiffany Adela Sanchez
- Tracey Davila Sanchez
- Kelly Michael Sandall
- Alisha R Sanders
- Bridget M Sanders
- Charles Sanders
- Howard Django Sanders
- Rhiannon Sanders
- Katrina Sanderson
All providers in Corpus Christi, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.