ALEXIS LONG (NPI# 1194371757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194371757 |
| Entity Type | Individual |
| Full Name | ALEXIS LONG |
| Practice Address |
4450 W Eau Gallie Blvd Ste 180 Melbourne FL 32934-7277 |
| Mailing Address |
130 Roosevelt Ave Apt 206 Satellite Beach FL 32937-3056 |
| Practice Telephone | 3212556627 |
| Mailing Telephone | 3214742871 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SZ9195 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314544 | Alexis Long | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2019-09-11 |
| 1831426345 | Alexis F Long | Emergency Medicine | 1100 Marshall Way, Placerville, CA 95667-6533 | 2009-11-05 |
| Street Address |
4450 W EAU GALLIE BLVD STE 180 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538438700 | Kristie Kay Mcgee | Physical Therapy Assistant | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2011-12-17 |
| 1821601709 | Emily Anna Chesley | Speech-Language Pathologist | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2020-08-28 |
| 1992316194 | Kristen Kinker | Occupational Therapist | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2020-08-11 |
| 1730726191 | Christine Guadalupe | Physical Therapy Assistant | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2019-12-04 |
| 1124662333 | Angelica Elaine Willett | Occupational Therapy Assistant | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2019-10-30 |
| 1184183543 | Amy J Plymale | Occupational Therapy Assistant | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2019-03-15 |
| 1326543299 | Corrine Ashley Fournier | Occupational Therapist | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2018-03-24 |
| 1831577618 | Emily Sobel | Occupational Therapy Assistant | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2015-05-12 |
| 1396155347 | Deanna Finney | Occupational Therapist | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2014-04-29 |
| 1619307378 | Talitha Lawson Foster | Occupational Therapist | 4450 W Eau Gallie Blvd Ste 180, Melbourne, FL 32934-7277 | 2013-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1689298655 | Leslie Stein | Speech-Language Pathologist | 2584 Senator Way, Melbourne, FL 32901-6810 | 2020-06-04 |
| 1396365342 | Kathleen Chodur | Speech-Language Pathologist | 8705 N Wickham Rd, Melbourne, FL 32940-5997 | 2020-04-20 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1003314139 | Libby Jasmine King | Speech-Language Pathologist | 6550 N Wickham Rd Ste 8, Melbourne, FL 32940-2038 | 2018-01-23 |
| 1265947329 | Jennifer Favino-sher | Speech-Language Pathologist | 6446 Arroyo Dr, Melbourne, FL 32940-8508 | 2017-12-11 |
| 1699210880 | Angela Knopf | Speech-Language Pathologist | 721 Casa Grande Dr, Melbourne, FL 32940-7004 | 2016-12-27 |
| 1235672833 | Megan Gonnelly | Speech-Language Pathologist | 484 N Wickham Rd Apt 144, Melbourne, FL 32935-8642 | 2016-11-30 |
| 1376090340 | Katherine Thew | Speech-Language Pathologist | 656 Carriage Hill Road, Melbourne, FL 32940 | 2016-09-07 |
| 1639623341 | Vianny Gordon | Speech-Language Pathologist | 780 S Apollo Blvd Ste 104, Melbourne, FL 32901-1402 | 2016-08-10 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.