Individual provider Active NPI

Alexandra Paige Harkin, MS CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Boiceville, NY
National Provider Identifier
1346609310
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027361 Issued in NY
Practice address
4166 State Route 28
Boiceville, NY 12412-5203
Phone
(845) 657-2354
Fax
(845) 657-8504
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X 027361 NY Primary

Addresses

Primary practice location

4166 State Route 28
Boiceville, NY 12412-5203

Mailing address

4166 State Route 28
Boiceville, NY 12412-5203
Phone (845) 657-2354

Other practice location 1

301 Main St
Suite B
Goshen, NY 10924-1636
Phone (845) 458-8661

Other identifiers 1

IdentifierTypeStateIssuer
05150523MedicaidNY

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1346609310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 STATE ROUTE 28",
            "city": "BOICEVILLE",
            "state": "NY",
            "postal_code": "124125203",
            "telephone_number": "845-657-2354",
            "fax_number": "845-657-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 STATE ROUTE 28",
            "city": "BOICEVILLE",
            "state": "NY",
            "postal_code": "124125203",
            "telephone_number": "845-657-2354",
            "fax_number": "845-657-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Main St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109241636",
            "country_code": "US",
            "telephone_number": "845-458-8661",
            "fax_number": "845-615-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKIN",
        "first_name": "ALEXANDRA",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05150523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiceville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.