Active NPI
Teresa Cardon
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1073752630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4237
- Practice address
- 4660 S Cabrio Ter
Mesa, AZ 85212-9671 - Phone
- (509) 251-0774
- NPI assigned
- Feb 5, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 8420934-2506 | UT | |
| Speech-Language Pathologist | 235Z00000X | SLP4237 | AZ | Primary |
Addresses
Primary practice location
4660 S Cabrio Ter
Mesa, AZ 85212-9671
Mailing address
4660 S Cabrio Ter
Mesa, AZ 85212-9671
Phone (509) 251-0774
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 |
|---|---|---|---|
| 8420934-2506 | UT | MD | Behavioral Analyst |
| SLP4237 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1073752630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 S CABRIO TER",
"city": "MESA",
"state": "AZ",
"postal_code": "852129671",
"telephone_number": "509-251-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 S CABRIO TER",
"city": "MESA",
"state": "AZ",
"postal_code": "852129671",
"telephone_number": "509-251-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDON",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "8420934-2506",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Cardiovascular Associates of Mesa P C
- Cardiovascular Associates of Mesa PC
- Cardiovascular Associates of Mesa-Gilbert
- Cardiovascular Associates Surgery and Electrophysiology LLC
- Cardiovascular Institute of Arizona
- Christopher S Cardwell, PA-C
- Kyron J Cardwell
- Care Crew, LLC
- Care for Kids of Arizona
- Care for Kids of Arizona, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.