Alexis Nicole McGoldrick, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010420 Issued in VA

Practice address

3012 Graham CT
Falls Church, VA 22042-1832

Phone

(215) 416-4020

NPI assigned

Jun 13, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Blarney Therapy Center, LLC

  • Hearing and Speech Clinic/Center
  • Falls Church, VA
  • NPI 1326773565
  NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1437889508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 GRAHAM CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421832",
            "telephone_number": "215-416-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 GRAHAM CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421832",
            "telephone_number": "215-416-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOLDRICK",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McEachern, MD
• Tara McFadden, LCSW
• Annie McFarland
• Minoo McFarland, FNP
• Lauren McGaffin, SLP
• Brittany McGowan, M.D.
• Tracy McGowan, LCSW
• Cash McGregor, PA-C
• Colleen Mary McGroder
• Regina McGuire-Robb, CSW

• Speech-Language Pathologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.