Active NPI
Alexandra Coleman, M.S.,CCC-SLP
- Speech-Language Pathologist
- Moraga, CA
National Provider Identifier
1992176598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18713
- Practice address
- 346 Rheem Blvd
Ste 105
Moraga, CA 94556-1503 - Phone
- (925) 268-0081
- NPI assigned
- Oct 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18713 | CA | Primary |
Addresses
Primary practice location
346 Rheem Blvd
Ste 105
Moraga, CA 94556-1503
Mailing address
346 Rheem Blvd
Ste 105
Moraga, CA 94556-1503
Phone (925) 268-0081
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1992176598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 RHEEM BLVD",
"address_2": "STE 105",
"city": "MORAGA",
"state": "CA",
"postal_code": "945561503",
"telephone_number": "925-268-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 RHEEM BLVD",
"address_2": "STE 105",
"city": "MORAGA",
"state": "CA",
"postal_code": "945561503",
"telephone_number": "925-268-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ALEXANDRA",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.