Individual provider Active NPI

Alisa Y Prewitt, SLPD-CCC/SLP

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1164458568
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
21346 Issued in CA
Practice address
21241 Ventura Blvd Ste 295
Woodland Hills, CA 91364-2128
Phone
(323) 924-9464
Fax
(281) 392-8239
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100951 TX
Speech-Language Pathologist 235Z00000X 21346 CA Primary

Addresses

Primary practice location

21241 Ventura Blvd Ste 295
Woodland Hills, CA 91364-2128

Mailing address

21241 Ventura Blvd Ste 295
Woodland Hills, CA 91364-2128
Phone (323) 924-9464

Other practice location 1

223 E Thousand Oaks Blvd Ste 324
Thousand Oaks, CA 91360-7733
Phone (323) 924-9464

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL simplepractice.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
100951TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apa Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Aug 11, 2024 Accepting new patients

Locations

223 E Thousand Oaks Blvd
Ste 324
Thousand Oaks, CA 91360
Phone (323) 924-9464

21241 Ventura Blvd
Ste 295
Woodland Hills, CA 91364
Phone (323) 924-9464

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1164458568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 295",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642128",
            "telephone_number": "323-924-9464",
            "fax_number": "281-392-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 295",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642128",
            "telephone_number": "323-924-9464",
            "fax_number": "281-392-8239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 E Thousand Oaks Blvd Ste 324",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913607733",
            "country_code": "US",
            "telephone_number": "323-924-9464",
            "fax_number": "281-392-8239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "ALISA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "SLPD-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100951",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "practice management",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21241 Ventura Blvd Ste 295",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913642128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.