Active NPI
Paulina Renee Silva
- Speech-Language Assistant
- Gilbert, AZ
National Provider Identifier
1053919324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA12682
- 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
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 Assistant | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA12682 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Speech Therapy, LLC | Single Specialty | Past | 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.
-
- Hearing and Speech Clinic/Center
- Chandler, AZ
- NPI 1255801114
Single Specialty
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.