Individual provider Active NPI

Alexandra Johst, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brookhaven, GA
National Provider Identifier
1669048914
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011907 Issued in GA
Practice address
1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329-2475
Phone
(404) 228-8558
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP011907 GA Primary

Addresses

Primary practice location

1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329-2475

Mailing address

1777 Northeast Expy NE Ste 120
Brookhaven, GA 30329-2475

Other names 1

  • Alexandra Harpole Former name

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

LicenseStateTypeSpecialty
SLP011907GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Propel Pediatric Therapy, Inc. Speech-Language Pathologist PastSince May 1, 2023 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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1669048914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NORTHEAST EXPY NE STE 120",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NORTHEAST EXPY NE STE 120",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292475",
            "telephone_number": "404-228-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHST",
        "first_name": "ALEXANDRA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "HARPOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.