Alexis Walden

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2132 Issued in NV

Practice address

1449 Muinos St
Las Vegas, NV 89117-7505

Phone

(832) 289-8812

NPI assigned

Mar 20, 2019

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

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Good Life Therapy, LLC

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1700211182
  Medicare reassignment NPD
• Therapy Blocks L.L.C.

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1346739562

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1639639313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 MUINOS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 MUINOS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177505",
            "telephone_number": "832-289-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 Montessouri St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891173063",
            "country_code": "US",
            "telephone_number": "832-289-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc.
• Walant ASC LLC
• Soheila Walcott
• Douglas Wald
• Mark Waldemar
• Ana Liza Walden
• Bobby Walden
• Elias Walden
• Jessica Walden
• Kaitlyn Nicole Walden, MD

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.