Active NPI
Alyssa Simonds
- Speech-Language Pathologist
- Augusta, ME
National Provider Identifier
1407538606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ST3958
- Practice address
- 15 Enterprise Dr
Augusta, ME 04330-7997 - Phone
- (207) 621-7500
- Fax
- (207) 621-7501
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 | ST3958 | ME | Primary |
Addresses
Primary practice location
15 Enterprise Dr
Augusta, ME 04330-7997
Mailing address
15 Enterprise Dr
Augusta, ME 04330-7997
Phone (207) 621-7500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ST3958 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1407538606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ENTERPRISE DR",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043307997",
"telephone_number": "207-621-7500",
"fax_number": "207-621-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ENTERPRISE DR",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043307997",
"telephone_number": "207-621-7500",
"fax_number": "207-621-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDS",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "ST3958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.