Active NPI
Kayleigh Nicole Alexander-Blake, M.C.D., SLP-CF
- Speech-Language Pathologist
- Summerville, SC
National Provider Identifier
1346743283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6349
- Practice address
- 1801 Old Trolley Rd Ste 101
Summerville, SC 29485-8283 - Phone
- (843) 871-3235
- NPI assigned
- Mar 16, 2018
- Reactivated
- May 1, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 6349 | SC | Primary |
Addresses
Primary practice location
1801 Old Trolley Rd Ste 101
Summerville, SC 29485-8283
Mailing address
1801 Old Trolley Rd Ste 101
Summerville, SC 29485-8283
Phone (843) 871-3235
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1920 W Potomac Ave
Chicago, IL 60622-3149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515000754 | NC | Practitioner - Qualified Speech Language Pathologist | 1658620240 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6349 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1346743283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 OLD TROLLEY RD STE 101",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858283",
"telephone_number": "843-871-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 OLD TROLLEY RD STE 101",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858283",
"telephone_number": "843-871-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER-BLAKE",
"first_name": "KAYLEIGH",
"middle_name": "NICOLE",
"credential": "M.C.D., SLP-CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2026-05-01",
"deactivation_date": "2026-04-09",
"reactivation_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.