Alexandra Grace Conwell, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7670 Issued in TN

Practice address

235 Med Park Dr
Clarksville, TN 37043-6310

Phone

(931) 538-3755

Fax

(931) 538-3756

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pitts Therapies, LLC

  dba Cornerstone Pediatric Therapies

  • Occupational Therapist
  • Clarksville, TN
  • NPI 1902455918

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1861103558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MED PARK DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436310",
            "telephone_number": "931-538-3755",
            "fax_number": "931-538-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MED PARK DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436310",
            "telephone_number": "931-538-3755",
            "fax_number": "931-538-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@cptclarksville.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Pitts Therapies, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Med Park Dr",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370436310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Laurent Conner, D.O.
• Callie Marie Connors, RBT
• Heather Conrad-Smith
• Kristina E Conroy, CRNA
• Continental Exquisites LLC (Continental Medical Cleaning and Supplies)
• Candace-Tara C Cook, LCSW
• Kayla Cook, MS, NCC
• Teresa Lynn Cook, MSN, FNP-BC
• Cook's Orthopedics, Inc
• Jennifer Marie Cooke, DNP, APRN, FNP-C

• Speech-Language Pathologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.