Active NPI
Deborah Ann Powell, SPT
- Speech-Language Pathologist
- Gilbert, AZ
National Provider Identifier
1053363069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4648
- Practice address
- 3341 E Queen Creek Rd
# 109
Gilbert, AZ 85297-8503 - Phone
- (480) 621-8361
- Fax
- (480) 621-8513
- NPI assigned
- May 17, 2006
- 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 | SLP4648 | AZ | Primary |
Addresses
Primary practice location
3341 E Queen Creek Rd
# 109
Gilbert, AZ 85297-8503
Mailing address
1087 E. Nickleback St.
Queen Creek, AZ 85243-7901
Phone (480) 777-5944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of New Mexico School of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1282 E Geronimo PL
Chandler, AZ 85225-2048
9385 W Donald Dr
Peoria, AZ 85383-2988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4648 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | 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
Organizations & group practices 1
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": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1053363069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 E. NICKLEBACK ST.",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852437901",
"telephone_number": "480-777-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 E QUEEN CREEK RD",
"address_2": "# 109",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852978503",
"telephone_number": "480-621-8361",
"fax_number": "480-621-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "SPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.