Dakota Lynn Penrod, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA15196 Issued in AZ

Practice address

2532 N 4TH St # 481
Flagstaff, AZ 86004-3712

Phone

(928) 226-1563

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1033958053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W JORDAN RANCH RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864099262",
            "telephone_number": "928-530-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 N 4TH ST # 481",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043712",
            "telephone_number": "928-226-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD",
        "first_name": "DAKOTA",
        "middle_name": "LYNN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA15196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desmyn Pedersen, DO
• Abigail R Pederson, LAC
• Paula Pelletier-Butler, DM, MS, LM
• Yi-Hsuan Peng, BCBA
• Blake Robert Pennock II, DC
• Robyn Esperanza Pensinger, RN
• Emily Michelle Caskey Peppers
• Marlene Perez
• Cori Kay Perkins, EDD
• Warren Kluber Perkins, M.D.

• Speech-Language Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.