Macy Alexander
Individual provider Active NPI Speech-Language Pathologist · Jonesboro, AR
NPI 1386453173 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1386453173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 202996 (AR)
- Practice address
- 2911 Longview Dr
Jonesboro, AR 72401-5911 - Phone
- (870) 759-2595
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202996 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 202996 | AR | Yes |
Addresses
Primary practice location
2911 Longview Dr
Jonesboro, AR 72401-5911
Mailing address
2911 Longview Dr
Jonesboro, AR 72401-5911
Phone (870) 759-2595
Other practice location 1
2911 Longview Dr
Jonesboro, AR 72401-5911
Phone (870) 759-2595
NPI Registry JSON
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1386453173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 LONGVIEW DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015911",
"telephone_number": "870-759-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 LONGVIEW DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015911",
"telephone_number": "870-759-2595"
}
],
"practiceLocations": [
{
"address_1": "2911 Longview Dr",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724015911",
"country_code": "US",
"telephone_number": "870-759-2595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "202996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
- Duha Mohd Abdelhameed Al-Smadi
- Chasity C Alcazar
- Martha Aldridge
- Waketta Lashelle Aldridge
- Leisa Alexander
- Renita Alexander
- Jamel A Alford
- Mohammed Alhajji
- Fahiye Abdirahman Ali
- All About the Fit
All providers in Jonesboro, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.