Individual provider Active NPI

Alexis Daniel Yero, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Coral Springs, FL
National Provider Identifier
1770073439
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
11120 NW 10TH PL
Coral Springs, FL 33071-6302
Phone
(754) 216-8839
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

11120 NW 10TH PL
Coral Springs, FL 33071-6302

Mailing address

11120 NW 10TH PL
Coral Springs, FL 33071-6302
Phone (754) 216-8839

Other practice location 1

190 E 9th Ave Ste 470
Denver, CO 80203-2718
Phone (754) 216-8839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000931 CO Practitioner - Qualified Speech Language Pathologist 7113384553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Gains Therapy Solutions, LLC Single Specialty CurrentSince Feb 8, 2023 Accepting new patients

Locations

190 E 9th Ave
Ste 470
Denver, CO 80203
Phone (720) 336-0044

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1770073439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NW 10TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716302",
            "telephone_number": "754-216-8839",
            "fax_number": "855-616-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NW 10TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716302",
            "telephone_number": "754-216-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E 9th Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802032718",
            "country_code": "US",
            "telephone_number": "754-216-8839",
            "fax_number": "855-717-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YERO",
        "first_name": "ALEXIS",
        "middle_name": "DANIEL",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.