Alexis Segovich, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146007272 Issued in IL

Practice address

17603 Alta CT
Lockport, IL 60441-4698

Phone

(815) 834-1253

NPI assigned

Aug 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alexis Priest Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1760676985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17603 ALTA CT",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414698",
            "telephone_number": "815-834-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17603 ALTA CT",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414698",
            "telephone_number": "815-834-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVICH",
        "first_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "PRIEST",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Omar Amgad Saleh, PHARMD
• Amanda Kay Sanderson, CCC-SLP
• Donna M Sauder, PT
• Madeline R Sawyer, BCBA
• Jontae' Scott
• Saul Sepulveda, QMHP
• Shark's Eye Establishment Corp. (Healthy Connection Wellness Center)
• Kelly A Shaw, DPT
• Lauren Shepley, PT
• Monika Agata Siedlarz, MD

• Speech-Language Pathologist in Lockport, IL
• Providers in Lockport, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.