Active NPI
Alison Fredricks
- Speech-Language Pathologist
- Tempe, AZ
National Provider Identifier
1073165031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP11891
- Practice address
- 1930 E Southern Ave
Tempe, AZ 85282-7518 - Phone
- (480) 456-0719
- NPI assigned
- Jul 10, 2019
- 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 | SLP11891 | AZ | Primary |
Addresses
Primary practice location
1930 E Southern Ave
Tempe, AZ 85282-7518
Mailing address
9551 E Redfield Rd Unit 1034
Scottsdale, AZ 85260-7088
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 |
|---|---|---|---|
| SLP11891 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Pet, LLC | Past | Accepting new patients | |
| Solace Pediatric Healthcare Therapy Services Az, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
-
- Physical Therapist
- Tempe, AZ
- NPI 1669533105
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1073165031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9551 E REDFIELD RD UNIT 1034",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827518",
"telephone_number": "480-456-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICKS",
"first_name": "ALISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP11891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.