Active NPI
Rodtree West
- Speech-Language Pathologist
- Avondale, AZ
National Provider Identifier
1013213149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- RODTREE WEST
- Practice address
- 12375 W Turney Ave
Avondale, AZ 85392-4283 - Phone
- (602) 690-1643
- Fax
- (602) 535-0632
- NPI assigned
- Feb 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Pearson
- Title
- Owner
- Phone
- (602) 690-1643
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
12375 W Turney Ave
Avondale, AZ 85392-4283
Mailing address
12375 W Turney Ave
Avondale, AZ 85392-4283
Phone (602) 690-1643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303384 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Rodtree West
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Avondale, AZ
- NPI 1134457336
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Goodyear, AZ
- NPI 1467962811
-
- Speech-Language Assistant
- Avondale, AZ
- NPI 1629355995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1013213149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12375 W TURNEY AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924283",
"telephone_number": "602-690-1643",
"fax_number": "602-535-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12375 W TURNEY AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924283",
"telephone_number": "602-690-1643",
"fax_number": "602-535-0632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODTREE WEST",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-690-1643"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303384",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.