Active NPI
Jennifer Tapley
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1013245976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP6453
- Practice address
- 20402 N 15TH Ave
Phoenix, AZ 85027-3636 - Phone
- (623) 445-4952
- Fax
- (623) 445-5079
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP6453 | AZ | Primary |
Addresses
Primary practice location
20402 N 15TH Ave
Phoenix, AZ 85027-3636
Mailing address
20402 N 15TH Ave
Phoenix, AZ 85027-3636
Phone (623) 445-4952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200806002069 | AZ | Practitioner - Qualified Speech Language Pathologist | 2860817962 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP6453 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Therapy, Inc. | Current | Accepting new patients | |
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1013245976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20402 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273636",
"telephone_number": "623-445-4952",
"fax_number": "623-445-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20402 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273636",
"telephone_number": "623-445-4952",
"fax_number": "623-445-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPLEY",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP6453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.