Alyssa Fleming, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60485007 Issued in WA

Practice address

28000 Prairie Springs Drive
Davenport, WA 99122

Phone

(509) 818-0208

Fax

(509) 351-3532

NPI assigned

Dec 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Alyssa Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Sparkle Speech and Language Therapy LLC

  • Speech-Language Pathologist
  • Davenport, WA
  • NPI 1790346294
  NPD Authorized official
• Periwinkle Children'S Therapy

  • Contractor
  • Hayden, ID
  • NPI 1184972184
  NPD (past)
• Periwinkle Children'S Therapy

  • Community/Behavioral Health Agency
  • Coeur D Alene, ID
  • NPI 1598211856
  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1538567839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991220013",
            "telephone_number": "509-818-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 PRAIRIE SPRINGS DRIVE",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "99122",
            "telephone_number": "509-818-0208",
            "fax_number": "509-351-3532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 W Canfield Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838159764",
            "country_code": "US",
            "telephone_number": "208-762-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ALYSSA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-3372",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLPI.SI.60485003",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60485007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "ANDERSON",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deanna D. Davidson, DO
• Dr Mobility, LLC
• James N Dunlap, M.D.
• Shannon L Dykes-Albers
• Tamra Ann Edmonds
• Melissa A Gilmore
• Lindsay Rose Hagreen
• Susan Nora Hatten
• Elizabeth Heglin
• Knute Jonathan Hernas, DDS

• Speech-Language Pathologist in Davenport, WA
• Providers in Davenport, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.