ALEXIS AMBROSE PENNINGTON M.S., CCC-SLP
NPI 1871371716
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Alexis Pennington's NPI number?

The NPI number for Alexis Pennington is 1871371716. It was assigned to this individual provider in the NPPES registry on September 21, 2023. The provider is also known as Alexis Ambrose Rudd M.S., Ccc-Slp.

Q: What is Alexis Pennington'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 Pennington was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 21, 2023Accepts Medicare Assignment

5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462(757) 455-5000 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexis Ambrose Pennington M.s., Ccc-slp NPPES

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

ALEXIS AMBROSE PENNINGTON M.S., CCC-SLP (NPI 1871371716) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202006328) and active in the NPI registry since September 2023. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1871371716

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameALEXIS AMBROSE PENNINGTONCredential: M.S., CCC-SLP

Location Address5604 VIRGINIA BEACH BLVD STE 101Virginia Beach, VA 23462-5631

Mailing Address809 50th StNorfolk, VA 23508-2019 · (757) 895-5465

Phone(757) 455-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1871371716 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 VA · 2202006328

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.

5604 VIRGINIA BEACH BLVD STE 101, Virginia Beach, VA 23462

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Other Names 1

Former Name (1)Alexis Ambrose Rudd M.s., Ccc-slp

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 Ambrose Pennington M.s., Ccc-slp 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 ID9234636945

PECOS Enrollment IDI20251008003560

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.

MS. ANDREA K ENGLERT OTR/L

Occupational Therapist