Jewel Alvis, SLPD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Leavenworth, KS
NPI 1114397189 · NPPES record last updated Sep 2, 2023
Key facts
- NPI
- 1114397189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2209 Spring Garden St
Leavenworth, KS 66048-6701 - Phone
- (913) 306-1580
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
2209 Spring Garden St
Leavenworth, KS 66048-6701
Mailing address
2209 Spring Garden St
Leavenworth, KS 66048-6701
Phone (913) 306-1580
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All providers in Leavenworth, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.