Individual provider Active NPI

Alan Dale Givens, M.S. CCC-SLP/AUD

  • Speech-Language Pathologist
  • Las Cruces, NM
National Provider Identifier
1679584833
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP2622 Issued in NM
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11247TXMDCorneal and Contact Management Optometrist
2622NMMDOccupational Therapist
5702NMMDAudiologist
SLP2622NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Therapy Services, LLP Speech-Language Pathologist CurrentSince Apr 24, 2022 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.

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.

Verify at the official NPI Registry.