Active NPI
Alexandra Elizabeth Lodwig, MS, CCC-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1669026134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15552
- Practice address
- 255 NW Lost Springs Terrace Apt 304
Portland, OR 97229 - Phone
- (925) 216-0885
- NPI assigned
- Aug 1, 2019
- 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 | 15552 | OR | Primary |
Addresses
Primary practice location
255 NW Lost Springs Terrace Apt 304
Portland, OR 97229
Mailing address
255 NW Lost Springs Terrace Apt 304
Portland, OR 97229
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 |
|---|---|---|---|
| 15552 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1669026134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 NW LOST SPRINGS TERRACE APT 304",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 NW LOST SPRINGS TERRACE APT 304",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97229",
"telephone_number": "925-216-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODWIG",
"first_name": "ALEXANDRA",
"middle_name": "ELIZABETH",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "15552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.