Individual provider Active NPI

Alyssa Nicole Ager

  • Speech-Language Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1346885902
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI4106 Issued in FL
Practice address
9840 Alternate A1A Ste 402
Palm Beach Gardens, FL 33410-4934
Phone
(561) 906-8674
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI4106 FL Primary

Addresses

Primary practice location

9840 Alternate A1A Ste 402
Palm Beach Gardens, FL 33410-4934

Mailing address

310 3Rd LN
Palm Beach Gardens, FL 33418-3547
Phone (772) 708-2284

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

State licenses

LicenseStateTypeSpecialty
SI4106FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Kids, Inc PastSince Nov 10, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1346885902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 3RD LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183547",
            "telephone_number": "772-708-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 ALTERNATE A1A STE 402",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104934",
            "telephone_number": "561-906-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGER",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.