Healthcare Provider Details

I. General information

NPI: 1689584369
Provider Name (Legal Business Name): ALEXIS BYFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11183 US 70 HWY W
CLAYTON NC
27520-2364
US

IV. Provider business mailing address

154 BELLINI DR
CLAYTON NC
27527-5607
US

V. Phone/Fax

Practice location:
  • Phone: 919-243-2201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number01009
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: