Alexis Haley Kish, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

353 W 17TH St
New York, NY 10011-5094

Phone

(212) 929-8660

NPI assigned

Jun 13, 2018

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1356834329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHARLES ST APT 1FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146123",
            "telephone_number": "215-783-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115094",
            "telephone_number": "212-929-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3602 14th St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111064704",
            "country_code": "US",
            "telephone_number": "215-783-4886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISH",
        "first_name": "ALEXIS",
        "middle_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Syd Kisberg
• Michael Kiselev, M.D.
• Anna Kiseleva
• Cameron Scott Kiser, PA-C
• Derrick Albert Kiser
• Laura Kish, LMSW
• Randi Beth Kish, LCSW
• Raina Kishan
• Vera Kishinevsky, PH.D
• Gabrielle Kishner, RD

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.