Individual provider Active NPI

Morgan L Zoemisch, MS, CCC-SLP

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1013462142
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP10035 Issued in AZ
Practice address
4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707
Phone
(480) 704-5954
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA10035 AZ
Speech-Language Pathologist 235Z00000X TSLP10035 AZ
Speech-Language Pathologist 235Z00000X SLP10035 AZ Primary

Addresses

Primary practice location

4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707

Mailing address

4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707

Other practice location 1

1025 N Country Club Dr
Mesa, AZ 85201-3307
Phone (480) 472-0500

Other practice location 2

10631 S 51st St Ste 8
Phoenix, AZ 85044
Phone (480) 398-4280

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLPA10035AZMDSpeech-Language Assistant
SLP10035AZMDSpeech-Language Pathologist
TSLP10035AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Pediatric Therapy CurrentSince Mar 6, 2022 Accepting new patients
Piller Child Development Past Accepting new patients
United Cerebral Palsy Association of Central Arizona Speech-Language Pathologist Past Accepting new patients
Piller Child Development LLC Speech-Language Pathologist PastSince Nov 1, 2017 Accepting new patients
Cholla Medical Group, Inc PastSince Dec 15, 2006 Accepting new patients

Locations

4350 E Ray Rd
Ste 101A
Phoenix, AZ 85044
Phone (480) 704-5954

Organizations & group practices 5

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1013462142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444707",
            "telephone_number": "480-704-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 N Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013307",
            "country_code": "US",
            "telephone_number": "480-472-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10631 S 51st St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85044",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOEMISCH",
        "first_name": "MORGAN",
        "middle_name": "L",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10035",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP10035",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10035",
            "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 Jan 27, 2021; 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.