Alexa L Macinnis, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

78076-SP-SL Issued in MA

Practice address

340 Turnpike St Ste 1-3a
Canton, MA 02021-2700

Phone

(781) 619-1500

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Integrated Center for Child Development Community

  • Clinical Neuropsychologist
  • Newton Upper Falls, MA
  • NPI 1396620266
  NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1285201954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TURNPIKE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 TURNPIKE ST STE 1-3A",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212700",
            "telephone_number": "781-619-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Catamore Blvd",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141204",
            "country_code": "US",
            "telephone_number": "401-214-1664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Oak St Ste G10",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024641492",
            "country_code": "US",
            "telephone_number": "617-658-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACINNIS",
        "first_name": "ALEXA",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78076-SP-SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Lutfy, NURSE PRACTITIONER
• Diane Lutz, MS, LMHC
• Clarissa Luzuriaga-Perez
• Lyons Insight Consulting LLC
• Cameron John Lyons, M.A
• Karen Wheeler Madden, NP, BC
• Nicole Maguire, RN
• Roselle R Mann, LICSW
• Rachael A Marcantonio, DO
• Jocelyne Destine Marcellus, NP-C

• Speech-Language Pathologist in Canton, MA
• Providers in Canton, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.