Individual provider Active NPI

Emily B. Sakievich, SLPA

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1023376290
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPA7519 Issued in AZ
Practice address
701 West Wetmore Rd. RM. 168
Amphitheater Public Schools
Tucson, AZ 85705-1547
Phone
(520) 696-5237
Fax
(520) 696-5067
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPA7519 AZ Primary

Addresses

Primary practice location

701 West Wetmore Rd. RM. 168
Amphitheater Public Schools
Tucson, AZ 85705-1547

Mailing address

701 West Wetmore Rd. RM. 168
Pima County Amphitheater Schools Dba Amphitheater Publi
Tucson, AZ 85705-1547
Phone (520) 696-5237

Other names 1

  • Miss Emily B. Bosen Former name

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
SLPA7519AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1023376290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WEST WETMORE RD. RM. 168",
            "address_2": "PIMA COUNTY AMPHITHEATER SCHOOLS DBA AMPHITHEATER PUBLI",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051547",
            "telephone_number": "520-696-5237",
            "fax_number": "520-696-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WEST WETMORE RD. RM. 168",
            "address_2": "AMPHITHEATER PUBLIC SCHOOLS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051547",
            "telephone_number": "520-696-5237",
            "fax_number": "520-696-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKIEVICH",
        "first_name": "EMILY",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPA7519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BOSEN",
            "middle_name": "B.",
            "prefix": "MISS",
            "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 Apr 25, 2012; 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.