Active NPI
Alpha Speech & Language Center
- Speech-Language Pathologist
- Erie, PA
National Provider Identifier
1215925896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL002438L
- Legal business name
- ALPHA SPEECH & LANGUAGE CENTER
- Practice address
- 2642 Glenwood Park Ave
Erie, PA 16508-1811 - Phone
- (814) 451-0940
- Fax
- (814) 451-0940
- NPI assigned
- Oct 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Sheppard, M.A., CCC-SLP
- Title
- Director
- Phone
- (814) 451-0940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL002438L | PA | Primary |
Addresses
Primary practice location
2642 Glenwood Park Ave
Erie, PA 16508-1811
Mailing address
2642 Glenwood Park Ave
Erie, PA 16508-1811
Phone (814) 451-0940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016078130001 | Medicaid | PA | |
| 597636 | Other | PA | US HEALTHCARE |
| 145112 | Other | PA | HEALTH AMERICA/HEALTH ASS |
| AL486390 | Other | PA | HIGHMARK BLUE CROSS/BLUE |
National Provider Directory
National Provider DirectoryLocations
2642 Glenwood Park Ave
Erie, PA 16508
Phone (814) 451-0940
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Erie, PA
- NPI 1134117716
-
- Occupational Therapist
- Grand Rapids, MI
- NPI 1104135599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215925896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2642 GLENWOOD PARK AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165081811",
"telephone_number": "814-451-0940",
"fax_number": "814-451-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2642 GLENWOOD PARK AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165081811",
"telephone_number": "814-451-0940",
"fax_number": "814-451-0940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA SPEECH & LANGUAGE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHEPPARD",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "814-451-0940",
"authorized_official_credential": "M.A., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL002438L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016078130001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "597636",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/HEALTH ASS",
"identifier": "145112",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS/BLUE",
"identifier": "AL486390",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.