Alexandra Rebecca McCracken, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3214 Issued in TN

Practice address

301 Louis St. #101
Mountain Region Speech & Hearing Center
Kingsport, TN 37660

Phone

(423) 246-4600

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Region Speech and Hearing Center

  • Speech-Language Pathologist
  • Kingsport, TN
  • NPI 1861427783
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1316323231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1453",
            "city": "MOUNT CARMEL",
            "state": "TN",
            "postal_code": "37645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LOUIS ST. #101",
            "address_2": "MOUNTAIN REGION SPEECH & HEARING CENTER",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-246-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "ALEXANDRA",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Alvin McClellan, PT
• Andrea Nicole McCloud, MA, NCC
• William D McColl, CRNA
• Miranda E McConnell, PHARMD
• James McCoy, M.D.
• Sandra McCrary, PA
• Jennifer N McCready, NP
• Madison Gayle McCullough
• Donna Jo McDonald, APN, CNM, MSN
• Edwin McElroy Jr., MD

• Speech-Language Pathologist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.