Active NPI
Ann Rose Gray, M.S. CFY-SLP
- Speech-Language Pathologist
- Tolleson, AZ
National Provider Identifier
1053510222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP5504
- Practice address
- 9801 W Van Buren St
Tolleson, AZ 85353-2833 - Phone
- (623) 478-4000
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | TSLP5504 | AZ | Primary |
Addresses
Primary practice location
9801 W Van Buren St
Tolleson, AZ 85353-2833
Mailing address
18116 W East Wind Ave
Goodyear, AZ 85338-5060
Phone (623) 536-3486
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
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP5504 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1053510222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18116 W EAST WIND AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853385060",
"telephone_number": "623-536-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 W VAN BUREN ST",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853532833",
"telephone_number": "623-478-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANN",
"middle_name": "ROSE",
"credential": "M.S. CFY-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP5504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolleson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.