Individual provider Active NPI

Brenda Zulema Ayala

  • Speech-Language Assistant
  • Mesa, AZ
National Provider Identifier
1003647983
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
15481 Issued in AZ
Practice address
1337 S Gilbert Rd Ste 105
Mesa, AZ 85204-6074
Phone
(480) 530-0890
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 15481 AZ Primary

Addresses

Primary practice location

1337 S Gilbert Rd Ste 105
Mesa, AZ 85204-6074

Mailing address

3409 S Rural Rd Apt 113
Tempe, AZ 85282-5422
Phone (415) 748-7641

Other practice location 1

3409 S Rural Rd Apt 113
Tempe, AZ 85282-5422
Phone (415) 748-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15481AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1003647983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 S RURAL RD APT 113",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825422",
            "telephone_number": "415-748-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S GILBERT RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046074",
            "telephone_number": "480-530-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3409 S Rural Rd Apt 113",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825422",
            "country_code": "US",
            "telephone_number": "415-748-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "BRENDA",
        "middle_name": "ZULEMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "15481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.