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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

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

Legacy Healthcare Services Inc
212 mi
Physical Therapist
3365 OGDEN RD
Roanoke, VA 24018
  • Reassigned Medicare billing, Virginia enrollment
  • 112 clinicians in this Medicare group
NPI 1740820828 (540) 682-7506

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.

MS. ANDREA K ENGLERT OTR/L
Occupational Therapist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
SAMANTHA MALEY OTR/L
Occupational Therapist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
KALEIGH POLYS OTR/L
Occupational Therapist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
CHELSEA MORGAN COX
Speech-Language Pathologist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
MORGAN MURPHY M.S.
Speech-Language Pathologist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
ALEXIS GRANDJEAN
Occupational Therapist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
MICHELLE MENDIOLA-VIDAL PT, DPT
Physical Therapist
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000
JULIE K HAWKINS
Occupational Therapy Assistant
5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 455-5000

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 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.

Where is Alexis Pennington located?

Alexis Pennington practices at 5604 Virginia Beach Blvd Ste 101, Virginia Beach, VA 23462. The listed phone number is (757) 455-5000.

What is Alexis Pennington's specialty?

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

Is Alexis Pennington enrolled in Medicare?

Yes. Alexis Pennington 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.

Which organization bills Medicare for Alexis Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Pennington reassigns Medicare benefits to Legacy Healthcare Services Inc (Roanoke, VA). 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 Alexis Pennington'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 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 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.