ALEXANDRA M SMITH (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1275159170

ALEXANDRA M SMITH (M.S., CCC-SLP) is a healthcare provider. based in Yukon, Oklahoma. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S., CCC-SLP. The NPI Number for ALEXANDRA M SMITH (M.S., CCC-SLP) is 1275159170

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA M SMITH (M.S., CCC-SLP)
NPI
1275159170
Phone
(405) 545-0761
Address
10716 NW 36TH PL
Enumeration Date
17 June 2020
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097544631
Graduation Year
2019 (7 years ago)
PAC ID
3173043015
Group Practice PAC ID
6709775166
Professional Enrollment ID
I20250224000662
Address ID
WA988231997EP200XXWAYX401

Contacts

Main Contact
speechpath@protonmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

114 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OK

Provider Addresses for ALEXANDRA M SMITH (M.S., CCC-SLP)

  • 10716 NW 36TH PL

    YUKON, OK 730993363

    Phone: (405) 545-0761

    Type: Mailing

  • 1824 COMMONS CIR STE B

    YUKON, OK 730999538

    Phone: (405) 324-0961

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250224000662IQualified Speech Language PathologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73099)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709775166View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)WA
Physical Therapist In Private PracticeWA
Physician AssistantWA
Diagnostic RadiologyWA
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeCA
Physician AssistantFL
Diagnostic RadiologyWA
Emergency Medicine, Family PracticeWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find ALEXANDRA M SMITH (M.S., CCC-SLP)'s NPI?
You can confirm ALEXANDRA M SMITH (M.S., CCC-SLP) with NPI 1275159170; it appears in the national provider directory.
Is ALEXANDRA M SMITH (M.S., CCC-SLP)'s NPI currently valid?
The extract we use shows ALEXANDRA M SMITH (M.S., CCC-SLP) as active.
Does ALEXANDRA M SMITH (M.S., CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for ALEXANDRA M SMITH (M.S., CCC-SLP). Clinical services aligned with this taxonomy classification.
Where is ALEXANDRA M SMITH (M.S., CCC-SLP)'s primary listing?
We display Yukon, Oklahoma because that is what the record indicates for ALEXANDRA M SMITH (M.S., CCC-SLP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Unknown Individual

Speech-Language Pathologist
144, East Parkland Drive, Yukon, Canadian County, Oklahoma, 73099, United States
NPI: 1891792289

DR. SUZAN L WARD (PH.D.)

Speech-Language Pathologist
PO BOX 851413
NPI: 1366498255

MRS. MARCE' HOTZ (MS, CCC-SLP)

Speech-Language Pathologist
4924 FAWN RUN DR
NPI: 1134217847

JENNIFER LYNN KEEL (CCC-SLP)

Speech-Language Pathologist
2028 LANKESTAR PL
NPI: 1780763391

MRS. GAY LYN BYRD (M.ED.)

Speech-Language Pathologist
4625 FAWN RUN DR
NPI: 1740322247

YUKON PUBLIC

Speech-Language Pathologist
600 MAPLE ST
NPI: 1750410379

MRS. KELLY SPARKS (MACCCSLP)

Speech-Language Pathologist
4928 CINDERWOOD DR
NPI: 1073732947

MRS. ASHLEY KARA THOMAS (M.S.CCC-SLP)

Speech-Language Pathologist
305, Eastview Drive, Yukon, Canadian County, Oklahoma, 73099, United States
NPI: 1932397361

MRS. JUDY KAY DICUS (MED CCC-SLP)

Speech-Language Pathologist
11200 NW 109TH ST
NPI: 1053580811