Agua Fria Union High School Dist #216

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4856 Issued in AZ

Legal business name

AGUA FRIA UNION HIGH SCHOOL DIST #216

Practice address

1481 N Eliseo Felix Jr Way
Avondale, AZ 85323-1216

Phone

(623) 932-7141

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lupe Segovia

Title

Mips Coordinator

Phone

(623) 932-7141

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hillary Ann Blank

  • Licensed Practical Nurse
  • Avondale, AZ
  • NPI 1427682038
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1003122847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 N ELISEO FELIX JR WAY",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 N ELISEO FELIX JR WAY",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231216",
            "telephone_number": "623-932-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUA FRIA UNION HIGH SCHOOL DIST #216",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "SEGOVIA",
        "authorized_official_first_name": "LUPE",
        "authorized_official_title_or_position": "MIPS COORDINATOR",
        "authorized_official_telephone_number": "623-932-7141"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Dentures & Implants - Avondale II, P.C.
• Affordable Dentures & Implants - Avondale III, P.C.
• Affordable Dentures & Implants - Avondale, P.C.
• Agave Solutions PLLC
• Ayobami Noheem Agoro, CEO
• Agua Fria Union High School District
• Agua Fria Union High School District
• Cynthia Gomez Aguilar
• Gabriel Alejandro Aguilar, PTA
• Cesar D Aguilera Navarro

• Speech-Language Pathologist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.