Alita Ann Fisher, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7424 Issued in FL

Practice address

3932 N 10TH Ave
Pensacola, FL 32503-2807

Phone

(850) 434-7755

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arc Gateway, Inc.

  • Clinic/Center
  • Pensacola, FL
  • NPI 1780610238

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1194812818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 ARAGON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026198",
            "telephone_number": "850-324-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 N 10TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032807",
            "telephone_number": "850-434-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "662 Aragon St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325026198",
            "country_code": "US",
            "telephone_number": "850-324-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ALITA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y906N",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "SA7424",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889977100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Lynn Fish, OTR/L
• Thomas Taylor Fish, MD
• Ben H Fishbein, DDS
• Joseph Daniel Fishbein, DDS
• Leah D. Fishbein, ARNP
• Edna Fisher, OTA
• Grant William Fisher
• Marie Fisher
• Michael Thomas Fisher
• Haleigh Renee' Fitzgerald, COTA

• Speech-Language Pathologist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.