Alexa Rae Ambrose, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77937-SP-SL Issued in MA

Practice address

49 State Rd
Watuppa Building, Suite 105
North Dartmouth, MA 02747-0274

Phone

(508) 985-1996

Fax

(508) 985-0067

NPI assigned

Mar 5, 2021

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Speech and Language Therapy Services, Inc.

  • Hearing and Speech Clinic/Center
  • New Bedford, MA
  • NPI 1871823047
  NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1942895552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHESTER AVE",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027792318",
            "telephone_number": "774-218-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "WATUPPA BUILDING, SUITE 105",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027470274",
            "telephone_number": "508-985-1996",
            "fax_number": "508-985-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "ALEXA",
        "middle_name": "RAE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77937-SP-SL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATIONS (ASHA)",
            "identifier": "14406277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSING",
            "identifier": "77937-SP-SL",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allergy Associates, Inc.
• Allergy Group, LLC
• Alpha Dental Center PC
• Ahmad A Alwassia, MD
• Amac Neurology and Sleep Medicine Associates, LLC
• Anaesthesia Associates of Massachusetts, PC
• Steven B Andelman, MD
• Elliott J Anderson, MD
• Nancy Marie Anjo
• Ramona M Archambault, NP

• Speech-Language Pathologist in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.