Active NPI
Aleksandra Agnieszka Jasienska, M.S., CCC-SLP
- Speech-Language Pathologist
- Stanley, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 364 S Hwy 16
Ste 200
Stanley, NC 28164 - Phone
- (704) 746-9698
- NPI assigned
- Jun 13, 2023
- Last updated
- Dec 16, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
364 S Hwy 16
Ste 200
Stanley, NC 28164
Mailing address
484 Williamson Rd Ste 102
Mooresville, NC 28117-8191
Other practice location 1
484 Williamson Rd
Suite 102
Mooresville, NC 28117
Phone (704) 746-9698
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab OT NC LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4101 Glenloch Cir
Matthews, NC 28105-6636
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Norman Communication Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Fox Rehab SLP NC PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7505 Highway 73
Ste B
Denver, NC 28037
2008 Moore Rd
Matthews, NC 28105
484 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 293-6552
364 S NC 16 Business Hwy
Ste 100
Stanley, NC 28164
Phone (720) 369-5266
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Matthews, NC
- NPI 1578341632
-
dba Pam Manser & Associates Speech Therapy
- Physical Medicine & Rehabilitation Physician
- Mooresville, NC
- NPI 1467908368
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1437833126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 WILLIAMSON RD STE 102",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 S HWY 16",
"address_2": "STE 200",
"city": "STANLEY",
"state": "NC",
"postal_code": "28164",
"telephone_number": "704-746-9698"
}
],
"practiceLocations": [
{
"address_1": "484 Williamson Rd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "28117",
"country_code": "US",
"telephone_number": "704-746-9698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JASIENSKA",
"first_name": "ALEKSANDRA",
"middle_name": "AGNIESZKA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab OT NC LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2008 Moore Rd",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281054978",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stanley, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.