Active NPI
Alex Ann Walters, M.ED., CCC-SLP
- Speech-Language Pathologist
- Lumberton, NC
National Provider Identifier
1376956722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10817
- Practice address
- 580 Farringdom Street
Lumberton, NC 28358 - Phone
- (910) 272-9056
- Fax
- (910) 272-9057
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 10817 | NC | Primary |
Addresses
Primary practice location
580 Farringdom Street
Lumberton, NC 28358
Mailing address
PO Box 1288
Lumberton, NC 28359
Phone (910) 827-5404
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10817 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513814400000",
"number": "1376956722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28359",
"telephone_number": "910-827-5404",
"fax_number": "910-827-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 FARRINGDOM STREET",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28358",
"telephone_number": "910-272-9056",
"fax_number": "910-272-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "ALEX",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2017-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
- Ashley Monroe Walker, RCEP
- Lisa Michelle Walker, FNP-BC, PMHNP-BC
- Sarah Desiree Walker, D.D.S.
- Annette Bruce Wallwork, F.N.P.
- Walters & Smith Family Dentistry
- Christopher Ronald Walters, M.D.
- Daniel Claybourn Walters Jr., DDS
- Leisha Hoyland Walters, PHARMD
- Lori Penelope Walters, RPH
- Travis D Walters, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.