Alliejane Boaz Desoto

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA9498 Issued in AZ

Practice address

101 S Airpark Rd
Suite M
Cottonwood, AZ 86326-4182

Phone

(928) 639-2694

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alliejane Boaz Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Interventions of Arizona, LLC

  • Speech-Language Pathologist
  • Golden Valley, AZ
  • NPI 1316191471
  Medicare reassignment
• Stable Foundations Therapy PLLC

  • Clinic/Center
  • Flagstaff, AZ
  • NPI 1962013474
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1063897122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2386",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860032386",
            "telephone_number": "928-226-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S AIRPARK RD",
            "address_2": "SUITE M",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264182",
            "telephone_number": "928-639-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOTO",
        "first_name": "ALLIEJANE",
        "middle_name": "BOAZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIEJANE",
            "last_name": "BOAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Pardee Counseling (Deborah Pardee Counseling PLLC)
• Debra Logan LCSW LLC
• Dennis J. Reed, MD PC
• Peggy Denton, IBCLC
• Desert View Chiropractic PLLC (Carey Chiropractic)
• Leslie Devine
• Gurneet Singh Dhingra, M.D.
• Mindy Diehl, FNP-C
• Hydie L. Henson Digiovanni, PSY.D.
• Dignity First Inc. (Home Sweet Home)

• Speech-Language Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.