Individual provider Active NPI

Alyssa Nicole Philippi

  • Speech-Language Pathologist
  • Wilmington, DE
National Provider Identifier
1720636319
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O4-0000628 Issued in DE
Practice address
1800 Limestone Rd
Wilmington, DE 19804-4108
Phone
(302) 992-5540
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 O4-0000628 DE Primary

Addresses

Primary practice location

1800 Limestone Rd
Wilmington, DE 19804-4108

Mailing address

1 Pond View Dr Apt A207
Swedesboro, NJ 08085-5300

Other practice location 1

200 Skiles Blvd
West Chester, PA 19382-7321
Phone (800) 578-7906

Other practice location 2

50 Hillside Rd
Wilmington, DE 19807-2263
Phone (302) 651-2626

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

State licenses

LicenseStateTypeSpecialty
O4-0000628DEMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1720636319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POND VIEW DR APT A207",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080855300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LIMESTONE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198044108",
            "telephone_number": "302-992-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Skiles Blvd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193827321",
            "country_code": "US",
            "telephone_number": "800-578-7906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Hillside Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198072263",
            "country_code": "US",
            "telephone_number": "302-651-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPPI",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O4-0000628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.