Individual provider Active NPI

Alexandra Altenburg, CCC-SLP

  • Speech-Language Pathologist
  • Waxhaw, NC
National Provider Identifier
1841612686
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13905 Issued in NC
Practice address
320 Reid Dairy Rd
Waxhaw, NC 28173-8532
Phone
(540) 550-2542
NPI assigned
Jan 14, 2014
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 13905 NC Primary

Addresses

Primary practice location

320 Reid Dairy Rd
Waxhaw, NC 28173-8532

Mailing address

6129 Providence Glen Rd
Charlotte, NC 28270-3739
Phone (540) 550-2542

Other names 1

  • Alexandra Adams Former name

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
20411CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1841612686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 PROVIDENCE GLEN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282703739",
            "telephone_number": "540-550-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 REID DAIRY RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738532",
            "telephone_number": "540-550-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENBURG",
        "first_name": "ALEXANDRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "ADAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.