Individual provider Active NPI

Alexandra Khanimova

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1740021542
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
15238 Issued in AZ
Practice address
1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474
Phone
(602) 601-2401
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 15238 AZ Primary

Addresses

Primary practice location

1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474

Mailing address

840 E Flynn LN
Phoenix, AZ 85014-1036

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
15238AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Therapies, LLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

1951 W Camelback Rd
Ste 450
Phoenix, AZ 85015
Phone (602) 601-2401

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1740021542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E FLYNN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W CAMELBACK RD STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153474",
            "telephone_number": "602-601-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIMOVA",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.