Individual provider Active NPI

Alexa Marie Metrano

  • Speech-Language Pathologist
  • Reseda, CA
National Provider Identifier
1184384307
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16393 Issued in CA
Practice address
18050 Vanowen St
Reseda, CA 91335-5638
Phone
(818) 888-4559
Fax
(818) 888-4005
NPI assigned
Dec 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 16393 CA Primary

Addresses

Primary practice location

18050 Vanowen St
Reseda, CA 91335-5638

Mailing address

18050 Vanowen St
Reseda, CA 91335-5638
Phone (818) 888-4559

Other practice location 1

18411 Clark St
Tarzana, CA 91356-3506
Phone (818) 888-4559

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
16393CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Development Institute Speech-Language Pathologist CurrentSince Jan 2, 2022 Accepting new patients

Locations

18050 Vanowen St
Reseda, CA 91335
Phone (818) 888-4559

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1184384307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18050 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355638",
            "telephone_number": "818-888-4559",
            "fax_number": "818-888-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18050 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355638",
            "telephone_number": "818-888-4559",
            "fax_number": "818-888-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18411 Clark St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563506",
            "country_code": "US",
            "telephone_number": "818-888-4559",
            "fax_number": "818-888-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METRANO",
        "first_name": "ALEXA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.