Individual provider Active NPI

Alexis Mei-Li Smith, CF-SLP

  • Speech-Language Pathologist
  • Hawthorne, CA
National Provider Identifier
1932761269
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30252 Issued in CA
Practice address
11840 S la Cienega Blvd
Hawthorne, CA 90250-3459
Phone
(424) 269-3400
Fax
(310) 882-5451
NPI assigned
Jul 8, 2019
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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 13539 CA
Speech-Language Pathologist 235Z00000X 30252 CA Primary

Addresses

Primary practice location

11840 S la Cienega Blvd
Hawthorne, CA 90250-3459

Mailing address

11840 S la Cienega Blvd
Hawthorne, CA 90250-3459
Phone (424) 269-3400

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
13539CAMDOccupational Therapist
30252CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1932761269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 S LA CIENEGA BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503459",
            "telephone_number": "424-269-3400",
            "fax_number": "310-882-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 S LA CIENEGA BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503459",
            "telephone_number": "424-269-3400",
            "fax_number": "310-882-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXIS",
        "middle_name": "MEI-LI",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13539",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.