Individual provider Active NPI

Alexandra Techentin, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Tallmadge, OH
National Provider Identifier
1164012738
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12570 Issued in OH
Practice address
518 Morningstar Dr
Tallmadge, OH 44278-1091
Phone
(440) 212-8174
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 SP.12570 OH Primary

Addresses

Primary practice location

518 Morningstar Dr
Tallmadge, OH 44278-1091

Mailing address

518 Morningstar Dr
Tallmadge, OH 44278-1091
Phone (440) 212-8174

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1164012738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 MORNINGSTAR DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781091",
            "telephone_number": "440-212-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 MORNINGSTAR DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781091",
            "telephone_number": "440-212-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECHENTIN",
        "first_name": "ALEXANDRA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.