NPIMap

Organization Active NPI

Speech Center of Southern Arizona

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1063614741
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00135236 Issued in AZ
Legal business name
SPEECH CENTER OF SOUTHERN ARIZONA
Practice address
1860 E River Rd
Suite 112
Tucson, AZ 85718-5993
Phone
(520) 721-4544
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Diane Hansen, M.A., CCC-SLPNPI 1386788016
Title
Speech Language Pathologist
Phone
(520) 721-4544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 00000174 AZ
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 00135236 AZ Primary

Addresses

Primary practice location

1860 E River Rd
Suite 112
Tucson, AZ 85718-5993

Mailing address

1860 E River Rd
Suite 112
Tucson, AZ 85718-5993
Phone (520) 721-4544

Other identifiers 5

IdentifierTypeStateIssuer
1386080281OtherAZNPI - NANCY TURMAN
1386788016OtherNPI-DIANE HANSEN
144725MedicaidAZ
115742MedicaidAZ
1104114842OtherAZNPI - CHRISTINE BUTALLA

National Provider Directory

National Provider Directory

Locations

1760 E River Rd
Ste 115
Tucson, AZ 85718
Phone (520) 721-4544

1860 E River Rd
Ste 112
Tucson, AZ 85718
Phone (520) 232-9259

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1063614741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 E RIVER RD",
            "address_2": "SUITE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185993",
            "telephone_number": "520-721-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 E RIVER RD",
            "address_2": "SUITE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185993",
            "telephone_number": "520-721-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH CENTER OF SOUTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "520-721-4544",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "00000174",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "00135236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - NANCY TURMAN",
            "identifier": "1386080281",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-DIANE HANSEN",
            "identifier": "1386788016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144725",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115742",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - CHRISTINE BUTALLA",
            "identifier": "1104114842",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.