Individual provider Active NPI

Paulina Renee Silva

  • Speech-Language Assistant
  • Gilbert, AZ
National Provider Identifier
1053919324
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA12682 Issued in AZ
Practice address
459 N Gilbert Rd Ste a-206
Gilbert, AZ 85234-4591
Phone
(480) 296-2363
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SLPA12682 AZ Primary

Addresses

Primary practice location

459 N Gilbert Rd Ste a-206
Gilbert, AZ 85234-4591

Mailing address

3115 E Amber Ridge Way
Phoenix, AZ 85048-7787
Phone (480) 278-4582

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TheraNest

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
SLPA12682AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Speech Therapy, LLC Single Specialty PastSince Oct 11, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1053919324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 E AMBER RIDGE WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487787",
            "telephone_number": "480-278-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 N GILBERT RD STE A-206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344591",
            "telephone_number": "480-296-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "PAULINA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheraNest",
            "affiliation": "N",
            "address_1": "459 N Gilbert Rd Ste A-206",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852344591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 9, 2020; 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.