Individual provider Active NPI

Kayleigh Nicole Alexander-Blake, M.C.D., SLP-CF

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1346743283
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6349 Issued in SC
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

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6349SCMDSpeech-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.

Verify at the official NPI Registry.