Active NPI
Regina Marie Barry, MS, CCC-SLP
- Speech-Language Pathologist
- Sun City West, AZ
National Provider Identifier
1063245223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP11928
- Practice address
- 14515 W Granite Valley Dr
Sun City West, AZ 85375-6021 - Phone
- (623) 975-8000
- NPI assigned
- Aug 22, 2024
- 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 | SLP11928 | AZ | Primary |
Addresses
Primary practice location
14515 W Granite Valley Dr
Sun City West, AZ 85375-6021
Mailing address
13310 N Plaza del Rio Blvd Unit 1058
Peoria, AZ 85381-0009
Phone (928) 580-7647
Other practice location 1
17300 N 88th Ave
Peoria, AZ 85382-3501
Phone (623) 972-0212
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 |
|---|---|---|---|
| SLP11928 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1063245223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13310 N PLAZA DEL RIO BLVD UNIT 1058",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853810009",
"telephone_number": "928-580-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14515 W GRANITE VALLEY DR",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853756021",
"telephone_number": "623-975-8000"
}
],
"practiceLocations": [
{
"address_1": "17300 N 88th Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853823501",
"country_code": "US",
"telephone_number": "623-972-0212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "REGINA",
"middle_name": "MARIE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP11928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.