Active NPI
Alexandra Michelle Vivar
- Speech-Language Assistant
- Bedford, TX
National Provider Identifier
1861993891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 37646
- Practice address
- 1600 Airport Fwy Ste 372
Bedford, TX 76022-6873 - Phone
- (817) 595-2955
- Fax
- (817) 595-5764
- NPI assigned
- Feb 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 37646 | TX | Primary |
Addresses
Primary practice location
1600 Airport Fwy Ste 372
Bedford, TX 76022-6873
Mailing address
1600 Airport Fwy Ste 372
Bedford, TX 76022-6873
Phone (817) 595-2955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37646 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37646 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519516800000",
"number": "1861993891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 AIRPORT FWY STE 372",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226873",
"telephone_number": "817-595-2955",
"fax_number": "817-595-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 AIRPORT FWY STE 372",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226873",
"telephone_number": "817-595-2955",
"fax_number": "817-595-5764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVAR",
"first_name": "ALEXANDRA",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-25",
"last_updated": "2018-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "37646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37646",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.