Active NPI
Alan Dale Givens, M.S. CCC-SLP/AUD
- Speech-Language Pathologist
- Las Cruces, NM
National Provider Identifier
1679584833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP2622
- Practice address
- 1090 Med Park Dr.
Las Cruces, NM 88005-3236 - Phone
- (575) 523-7243
- Fax
- (575) 525-5641
- NPI assigned
- Aug 11, 2006
- Last updated
- Apr 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5702 | NM | |
| Speech-Language Pathologist | 235Z00000X | 11247 | TX | |
| Speech-Language Pathologist | 235Z00000X | 2622 | NM | |
| Speech-Language Pathologist | 235Z00000X | SLP2622 | NM | Primary |
Addresses
Primary practice location
1090 Med Park Dr.
Las Cruces, NM 88005-3236
Mailing address
PO Box 2461
Alamogordo, NM 88311-2461
Phone (505) 491-8898
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 |
|---|---|---|---|
| 11247 | TX | MD | Corneal and Contact Management Optometrist |
| 2622 | NM | MD | Occupational Therapist |
| 5702 | NM | MD | Audiologist |
| SLP2622 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Therapy Services, LLP | Speech-Language Pathologist | Current | Accepting new patients |
| Alamogordo Municipal Schools | Past | Accepting new patients |
Locations
1090 Med Park Dr
Las Cruces, NM 88005
Phone (575) 523-7243
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Alamogordo, NM
- NPI 1861504540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1679584833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2461",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883112461",
"telephone_number": "505-491-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 MED PARK DR.",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053236",
"telephone_number": "575-523-7243",
"fax_number": "575-525-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVENS",
"first_name": "ALAN",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "M.S. CCC-SLP/AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "5702",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "11247",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "2622",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLP2622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.