Individual provider Active NPI

Alexa Ford

  • Speech-Language Pathologist
  • Hunt Valley, MD
National Provider Identifier
1407303076
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00824700 Issued in NJ
Practice address
307 International Circle
Suite 100
Hunt Valley, MD 21030-1303
Phone
(410) 667-7200
Fax
(410) 667-7201
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00824700 NJ Primary
Speech-Language Pathologist 235Z00000X 024466 NY

Addresses

Primary practice location

307 International Circle
Suite 100
Hunt Valley, MD 21030-1303

Mailing address

307 International Cir
Suite 100
Hunt Valley, MD 21030-1321
Phone (410) 667-7200

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

State licenses

LicenseStateTypeSpecialty
41YS00824700NJMDSpeech-Language Pathologist
024466NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1407303076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR",
            "address_2": "SUITE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301321",
            "telephone_number": "410-667-7200",
            "fax_number": "410-667-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIRCLE",
            "address_2": "SUITE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301303",
            "telephone_number": "410-667-7200",
            "fax_number": "410-667-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00824700",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.