Active NPI
Alix Groves
- Speech-Language Pathologist
- Milwaukee, WI
National Provider Identifier
1306049465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- Center for Blind & Visually Impaired Children
5600 W Brown Deer Rd, Ste 4
Milwaukee, WI 53223 - Phone
- (414) 355-3060
- Fax
- (414) 355-3547
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
Center for Blind & Visually Impaired Children
5600 W Brown Deer Rd, Ste 4
Milwaukee, WI 53223
Mailing address
6191 Churchwood Cir
Greendale, WI 53129-2464
Phone (414) 355-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42624700 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306049465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6191 CHURCHWOOD CIR",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531292464",
"telephone_number": "414-355-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTER FOR BLIND & VISUALLY IMPAIRED CHILDREN",
"address_2": "5600 W BROWN DEER RD, STE 4",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53223",
"telephone_number": "414-355-3060",
"fax_number": "414-355-3547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "ALIX",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42624700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.