ALEXANDRA RAE LERTOLA (NPI# 1467068403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467068403 |
| Entity Type | Individual |
| Full Name | ALEXANDRA RAE LERTOLA |
| Credential | M.S. CCC-SLP |
| Practice Address |
53940 Carmichael Dr South Bend IN 46635-1564 |
| Practice Telephone | 5743356212 |
| Practice Fax Number | 5743350809 |
| Mailing Telephone | 5743356212 |
| Mailing Fax Number | 5743350809 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22007598A | IN | Speech, Language and Hearing Service Providers |
| Street Address |
53940 CARMICHAEL DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829720 | Xrc Medical Imaging, LLC | Radiology | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2006-05-18 |
| 1114526589 | Rebecca Ann Chilcote | Occupational Therapy Assistant | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-10-18 |
| 1649886490 | Marilyn Ross | Physical Therapist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-17 |
| 1336755180 | Judith Stayback | Physical Therapy Assistant | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-17 |
| 1598371478 | Erica Doyle | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1134735061 | Angela Snyder | Physical Therapist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1508474636 | Saint Joseph Regional Medical Center South Bend Campus Inc | Clinic/Center | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| 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 |
|---|---|---|---|---|
| 1144831009 | Jessica Brickman | Speech-Language Pathologist | 736 Portage Ave Apt 4, South Bend, IN 46616-1371 | 2020-08-13 |
| 1578018859 | Heather Hetler | Speech-Language Pathologist | 210 S Hawthorne Dr, South Bend, IN 46617-3441 | 2016-08-17 |
| 1326488198 | Ashley D Bragg | Speech-Language Pathologist | 2610 Eisenhower Ave, South Bend, IN 46615-3421 | 2013-06-26 |
| 1487932539 | Patricia E Horvath | Speech-Language Pathologist | 59960 Red Fox Ct, South Bend, IN 46614-4033 | 2011-07-22 |
| 1447567599 | Marcie B Kloosterman | Speech-Language Pathologist | 23375 Amber Valley Dr, South Bend, IN 46628-8139 | 2010-09-10 |
| 1174618961 | Carol V Graham | Speech-Language Pathologist | 1222 E Wayne St S, South Bend, IN 46615-1049 | 2006-10-04 |
| 1932293271 | Elizabeth A Early | Speech-Language Pathologist | 2012 Ironwood Cir, South Bend, IN 46635-1888 | 2006-10-03 |
| 1598371478 | Erica Doyle | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1356909758 | Kaitlyn Fleming | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-05-31 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on ALEXANDRA RAE LERTOLA.
| 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.