Alisa Valerna Kazyuchits

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

37293 Issued in TX

Practice address

404 Racquet Club Blvd
Bedford, TX 76022-6408

Phone

(682) 738-3056

NPI assigned

Sep 5, 2017

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

State licenses

Practice roles

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.

• Small Hands Big Hearts Pediatric Therapy Management Inc

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1992012660
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1376061812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 TOWNE CROSSING BLVD APT 526",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638948",
            "telephone_number": "903-851-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RACQUET CLUB BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226408",
            "telephone_number": "682-738-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZYUCHITS",
        "first_name": "ALISA",
        "middle_name": "VALERNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "37293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brian Kaner, DO
• Badar Aqeel Kanwar, M.D.
• Akansha Karowadia, PA-C
• Robert Earl Karper III, M,D,
• Sana Yasar Kayani, MD
• Kelencare Inc
• Keller Interventional Pain Center, LLC
• Julie Kendro, PTA
• Ashley M Kennedy, LPC-A
• Kensington Interventional Pain Center, LLC

• Speech-Language Assistant in Bedford, TX
• Providers in Bedford, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.