Individual provider Active NPI

Alexis Monet Harris

  • Speech-Language Pathologist
  • Mount Juliet, TN
National Provider Identifier
1861040131
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7030 Issued in TN
Practice address
368 Quarry Loop Rd
Mount Juliet, TN 37122-7206
Phone
(615) 443-4445
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP011327 GA
Speech-Language Pathologist 235Z00000X 7030 TN Primary

Addresses

Primary practice location

368 Quarry Loop Rd
Mount Juliet, TN 37122-7206

Mailing address

368 Quarry Loop Rd
Mount Juliet, TN 37122-7206
Phone (615) 443-4445

Other practice location 1

1273 Northfield Dr Ste 3
Clarksville, TN 37040-6184
Phone (931) 553-3942

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
7030TNMDClinical Social Worker
SLP011327GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1861040131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "615-443-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "615-443-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1273 Northfield Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406184",
            "country_code": "US",
            "telephone_number": "931-553-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALEXIS",
        "middle_name": "MONET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011327",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; 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.