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ALEXANDRIA TAYLOR LUCZAK CCC-SLP
NPI 1609466408
Speech-Language Pathologist in Burnsville, MN

Active since January 25, 2021
14000 FAIRVIEW DR, BURNSVILLE, MN 55337(952) 993-8700 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2023, Jan 25, 2021 (2 updates tracked since 2021).

About Alexandria Taylor Luczak Ccc-slp NPPES

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

ALEXANDRIA TAYLOR LUCZAK CCC-SLP (NPI 1609466408) is an individual speech-language pathologist provider in Burnsville, Minnesota, licensed in Minnesota (10230) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1609466408
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALEXANDRIA TAYLOR LUCZAKCredential: CCC-SLP
Location Address14000 FAIRVIEW DRBurnsville, MN 55337-5713
Mailing Address1421 W 143rd St Apt 110Burnsville, MN 55306-4900 · (712) 380-2916
Phone(952) 993-8700
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1609466408 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
License✔ Licensed in MN · 10230
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.
14000 FAIRVIEW DR, Burnsville, MN 55337
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Other Names 1

Former Name (1)Alexandria Sievert

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Taylor Luczak Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alexandria Luczak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital
13 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

AMY MARTINEZ PT
Physical Therapist
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8521
ETHAN M DEKAM
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
DR. DALE N AKKERMAN M.D.
Obstetrics & Gynecology
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
DR. GEETA L BALKISSOON MB BS
Family Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
LEAH CAROLINE JOHNSON
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
ZHEN ZHEN LUO
Internal Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
ANGELA NICOLE SCORE
Nurse Practitioner (Gerontology)
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (612) 341-4800
DR. SHEILA J JENKINS M.D.
Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700

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 Alexandria Luczak's NPI number?

The NPI number for Alexandria Luczak is 1609466408. It was assigned to this individual provider in the NPPES registry on January 25, 2021. The provider is also known as Alexandria Sievert.

Where is Alexandria Luczak located?

Alexandria Luczak practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8700.

What is Alexandria Luczak's specialty?

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

Is Alexandria Luczak enrolled in Medicare?

Yes. Alexandria Luczak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandria Luczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Luczak reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandria Luczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandria Luczak was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.