Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXIS CICCONE MCCULLOUGH
NPI 1336842061
Speech-Language Pathologist in Gainesville, VA

Q: What is Alexis Mccullough's NPI number?

The NPI number for Alexis Mccullough is 1336842061. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Alexis Mccullough's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Mccullough was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2023

7820 BALTUSROL BLVD, GAINESVILLE, VA 20155(703) 468-2750 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Mar 22, 2023 (2 updates tracked since 2023).

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About Alexis Ciccone Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS CICCONE MCCULLOUGH (NPI 1336842061) is an individual speech-language pathologist provider in Gainesville, Virginia and active in the NPI registry since March 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1336842061

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameALEXIS CICCONE MCCULLOUGH

Location Address7820 BALTUSROL BLVDGainesville, VA 20155-3270

Mailing Address203 Lavender Bloom LoopMooresville, NC 28115-8703 · (610) 500-0809

Phone(703) 468-2750

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 22, 2023

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1336842061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

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.

7820 BALTUSROL BLVD, Gainesville, VA 20155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Ciccone Mccullough is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365892148

PECOS Enrollment IDI20241029004605

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORINNA ROSSI

Occupational Therapist

7820 BALTUSROL BLVD
GAINESVILLE, VA 20155

Prince William County (703) 468-2750

DR. GEORGETTE DRISKILL DPT

Physical Therapist

7820 BALTUSROL BLVD
GAINESVILLE, VA 20155

Prince William County (703) 468-2750

KATIE L BUTTAFARRO OTR/L

Occupational Therapist

7820 BALTUSROL BLVD
GAINESVILLE, VA 20155

Prince William County (703) 468-2750

ALEXIS EDWARDS

Occupational Therapy Assistant

7820 BALTUSROL BLVD
GAINESVILLE, VA 20155

Prince William County (571) 284-7432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Mccullough's NPI number?

The NPI number for Alexis Mccullough is 1336842061. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Alexis Mccullough located?

Alexis Mccullough practices at 7820 Baltusrol Blvd, Gainesville, VA 20155. The listed phone number is (703) 468-2750.

What is Alexis Mccullough's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Alexis Mccullough enrolled in Medicare?

Yes. Alexis Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexis Mccullough accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Alexis Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexis Mccullough was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.