Active NPI
Alexandra Golkin, M.S., CCC - SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1669004784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13528
- Practice address
- 3116 Milton Rd Ste F
Charlotte, NC 28215-5079 - Phone
- (980) 237-6226
- Fax
- (980) 237-6288
- NPI assigned
- Feb 6, 2020
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13528 | NC | Primary |
Addresses
Primary practice location
3116 Milton Rd Ste F
Charlotte, NC 28215-5079
Mailing address
1520 Mockingbird LN Apt 312
Charlotte, NC 28209-6211
Phone (862) 432-8312
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13528 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaesan PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3116 Milton Rd
Ste F
Charlotte, NC 28215
Phone (980) 237-6226
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1669004784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 MOCKINGBIRD LN APT 312",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282096211",
"telephone_number": "862-432-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 MILTON RD STE F",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155079",
"telephone_number": "980-237-6226",
"fax_number": "980-237-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLKIN",
"first_name": "ALEXANDRA",
"credential": "M.S., CCC - SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.