Active NPI
Alexandra E Rosen
- Speech-Language Pathologist
- Henderson, NV
National Provider Identifier
1144567314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1472
- Practice address
- 402 Breeze Way
Henderson, NV 89015-6813 - Phone
- (702) 460-9787
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | SP-1472 | NV | Primary |
Addresses
Primary practice location
402 Breeze Way
Henderson, NV 89015-6813
Mailing address
402 Breeze Way
Henderson, NV 89015-6813
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1472 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Georgia | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1144567314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 BREEZE WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890156813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 BREEZE WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890156813",
"telephone_number": "702-460-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ALEXANDRA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-1472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
- Paige Rose
- Roseman University of Health Sciences
- Roseman University of Health Sciences, a Nevada Non-Profit Corp
- Roseman University of Health Sciences, a Nevada Non-Profit Organization
- Rosemary Ten Broek
- Linda Rosenberg, P.A.-C.
- Leslee Rosenlof, DPT
- Cynthia Kae Rosenow, RD, CD
- Jonathan M Rosenstein, M.D.
- Philip Steven Rosenthal, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.