Alex Etienne, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

23072 Issued in CA

Practice address

1500 S Cawston Ave
Hemet, CA 92545-7056

Phone

(951) 791-1830

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1447970504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CAWSTON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925457056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CAWSTON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925457056",
            "telephone_number": "951-791-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "ALEX",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aetienne@hemetusd.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Hemet Unified School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "1500 S Cawston Ave",
            "city": "Hemet",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925457056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cristina E Esquivel, RADT
• Rachelle Estella, CATC II
• Maria Luisa Estrada
• Norma A. Estrada, CLINICIAN
• Shay L Estrada, CCC-SLP
• Eva Girls Healthcare Foundation, Inc
• Eva Girls Healthcare Services, Unlimited
• Evalone Pro, LLC
• Linda Marie Evans, PT, DPT
• Shayla Evans

• Speech-Language Pathologist in Hemet, CA
• Providers in Hemet, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.