Alessandra Soto

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

CF415 Issued in OK

Practice address

1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996

Phone

(918) 608-1212

Fax

(918) 289-2606

NPI assigned

Oct 11, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Spot for Kids

  • Speech-Language Pathologist
  • Broken Arrow, OK
  • NPI 1851715395
  NPD (past)

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1982329066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W WACO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740112822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S EUCALYPTUS AVE STE 200",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125996",
            "telephone_number": "918-608-1212",
            "fax_number": "918-289-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ALESSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "CF415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://thespotforkids.com",
            "affiliation": "N",
            "endpointDescription": "wedsite",
            "address_1": "1605 S Eucalyptus Ave Ste 200",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740125996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Mitchell Snyder
• Brittney Solem
• Elizabeth Douglas Solnok
• Jack Milton Sommers, MD, MBA
• Sooner Diagnostic & Neuro Testing
• Maritza Soto
• South Pointe Pediatrics, PLLC
• Southlake Dialysis LLC
• Southside Dermatology PLLC
• Sandra Souvannachak, PHARMD

• Speech-Language Pathologist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.