Organization Active NPI

Alpha Speech & Language Center

  • Speech-Language Pathologist
  • Erie, PA
National Provider Identifier
1215925896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL002438L Issued in PA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0016078130001MedicaidPA
597636OtherPAUS HEALTHCARE
145112OtherPAHEALTH AMERICA/HEALTH ASS
AL486390OtherPAHIGHMARK BLUE CROSS/BLUE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.