Alexandra Douglass

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112710 Issued in TX

Practice address

2017 Edgemere Rd
Big Spring, TX 79720-2000

Phone

(432) 270-4444

NPI assigned

Feb 22, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Speech Path, LLC

  • Speech-Language Pathologist
  • Big Spring, TX
  • NPI 1275482168
  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1629776265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 EDGEMERE RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202000",
            "telephone_number": "432-270-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 EDGEMERE RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202000",
            "telephone_number": "432-270-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen Dinh, PHARMD
• Jenna DO
• Tabatha Maye Dominey, MA, LPC-ASSOCIATE
• Dora Roberts Rehabilitation Center
• Linda Jo Douglas, R.D., L.D.
• Michael David Downing, PHD
• Dr D H McGonagill, Inc
• Dr. David D. Long M.D., P.a.
• Dungarvin Texas, LLC
• Gabriel Durand-Hollis, M.D.

• Speech-Language Pathologist in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.