Active NPI
Alexandra R Ontiveros, MS, CCC-SLP
- Speech-Language Pathologist
- Gallatin, TN
National Provider Identifier
1689286379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6659
- Practice address
- 555 E Bledsoe St
Gallatin, TN 37066-3003 - Phone
- (615) 452-7132
- NPI assigned
- Aug 23, 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 | 6659 | TN | Primary |
Addresses
Primary practice location
555 E Bledsoe St
Gallatin, TN 37066-3003
Mailing address
314 Lindsey Hollow Rd
Gallatin, TN 37066-8209
Phone (951) 295-1061
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 |
|---|---|---|---|
| 6659 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598140800000",
"number": "1689286379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 LINDSEY HOLLOW RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370668209",
"telephone_number": "951-295-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E BLEDSOE ST",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663003",
"telephone_number": "615-452-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONTIVEROS",
"first_name": "ALEXANDRA",
"middle_name": "R",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2020-08-23",
"certification_date": "2020-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "6659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.