Individual provider Active NPI

Alisha Renee Verchick, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1629207659
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1263 Issued in NV
Practice address
8156 Lone Boulder St
Las Vegas, NV 89113-4659
Phone
(702) 300-5068
NPI assigned
Jul 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1263 NV
Speech-Language Pathologist 235Z00000X 1263 NV Primary

Addresses

Primary practice location

8156 Lone Boulder St
Las Vegas, NV 89113-4659

Mailing address

8156 Lone Boulder St
Las Vegas, NV 89113-4659
Phone (702) 300-5068

Other identifiers 1

IdentifierTypeStateIssuer
1263OtherNVNEVADA STATE LICENSE NUMBER

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-1263NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ready, Set, Grow LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1629207659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 LONE BOULDER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134659",
            "telephone_number": "702-300-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8156 LONE BOULDER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134659",
            "telephone_number": "702-300-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCHICK",
        "first_name": "ALISHA",
        "middle_name": "RENEE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1263",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE LICENSE NUMBER",
            "identifier": "1263",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.