Alicia Kathryn Nordstrom, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

948 Countrywood Cir
Vacaville, CA 95687-7743

Phone

(707) 999-7746

NPI assigned

Aug 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 names 1

• Ms. Alicia Jans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1952075798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 COUNTRYWOOD CIR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877743",
            "telephone_number": "707-999-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 COUNTRYWOOD CIR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877743",
            "telephone_number": "707-999-7746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14711 S Ravinia Ave",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623100",
            "country_code": "US",
            "telephone_number": "708-787-0952",
            "fax_number": "708-787-0958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Kingery Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272250",
            "country_code": "US",
            "telephone_number": "630-446-2601",
            "fax_number": "630-446-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "ALICIA",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "JANS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.