Individual provider Active NPI

Alexis Renee Garcia, MS., CF-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1114645926
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120062 Issued in TX
Practice address
1001 W Braker LN
Austin, TX 78758-4114
Phone
(512) 841-2500
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 120062 TX Primary

Addresses

Primary practice location

1001 W Braker LN
Austin, TX 78758-4114

Mailing address

2300 Windy Ridge Pkwy SE # 825S
Atlanta, GA 30339-5665
Phone (678) 708-2360

Other practice location 1

1101 Wheatley Ave
Austin, TX 78752-1733
Phone (512) 841-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
120062TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1114645926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PKWY SE # 825S",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395665",
            "telephone_number": "678-708-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584114",
            "telephone_number": "512-841-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Wheatley Ave",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521733",
            "country_code": "US",
            "telephone_number": "512-841-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ALEXIS",
        "middle_name": "RENEE",
        "credential": "MS., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.