Alice Chandler, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10130 Issued in FL

Practice address

300 Dr Carter Blvd
Bunnell, FL 32110-6211

Phone

(386) 437-4168

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ap Therapy LLC

  dba Sequoia Care

  • Physical Therapist
  • Englewood Cliffs, NJ
  • NPI 1699552646

  FL, Speech-Language Pathologist

  Medicare reassignment NPD
• Ap Therapy LLC

  dba Sequoia Care Outpatient Therapy Services

  • Physical Therapist
  • League City, TX
  • NPI 1821823717

  Speech-Language Pathologist

  NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1922575893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DR CARTER BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106211",
            "telephone_number": "386-437-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DR CARTER BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106211",
            "telephone_number": "386-437-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ALICE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bunnell Medical Center Inc
• Bunnell Pharmacy Inc
• Carlisi Chiropractic Center Inc.
• Roy Carlisi, D.C.
• Chance 2 Change (Break The Cycle)
• Valerie Jean Christie, RN
• Clarke in-Home Senior Care LLC
• Daniel Dalton Cody, RN
• Ashlee Coleman
• Amy L. Coopersmith, FNP

• Speech-Language Pathologist in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.