Alexandra Feagin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

120674 Issued in TX

Practice address

165 E St Hwy 121
Coppell, TX 75019-7982

Phone

(817) 479-7019

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By 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

Other names 1

• Alexandra Jacobs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1932976297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 E MOCKINGBIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065426",
            "telephone_number": "972-750-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E ST HWY 121",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197982",
            "telephone_number": "817-479-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGIN",
        "first_name": "ALEXANDRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "JACOBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua D Falk, PHARM.D.
• Mary Faller, M.A., L.P.C.
• Katelin Emily Faria, MS, OTR/L
• Oladayo Simeon Farodoye, PMHNP-BC
• Margaret Elliott Faul
• Dillon Fedak, DPT
• Micheala Marie Ferguson, NP-C
• Karen Denise Ferrell
• Grace Marie Fesler, M.S., CCC-SLP
• Cristina Fetter, M.S. CCC/SLP

• Speech-Language Pathologist in Coppell, TX
• Providers in Coppell, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.