Active NPI
Alyssa Marie Zuccaro, MS, CCC-SLP
- Speech-Language Pathologist
- Tucson, AZ
National Provider Identifier
1013416908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP14814
- Practice address
- 2600 N Wyatt Dr
Tucson, AZ 85712-6106 - Phone
- (520) 324-3027
- Fax
- (520) 324-3129
- NPI assigned
- Feb 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7846 | LA | |
| Speech-Language Pathologist | 235Z00000X | SLP14814 | AZ | Primary |
Addresses
Primary practice location
2600 N Wyatt Dr
Tucson, AZ 85712-6106
Mailing address
261 E Calderwood Rd
Tucson, AZ 85704
Phone (225) 955-0772
Other names 1
- Alyssa Marie Leblanc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP14814 | AZ | MD | Speech-Language Pathologist |
| 7846 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Launch | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
-
- Speech-Language Pathologist
- Denham Springs, LA
- NPI 1831579507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1013416908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 E CALDERWOOD RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85704",
"telephone_number": "225-955-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N WYATT DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126106",
"telephone_number": "520-324-3027",
"fax_number": "520-324-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCCARO",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "7846",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP14814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "LEBLANC",
"middle_name": "MARIE",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.