NPIMap

Organization Active NPI

Mana'Olana Speech Therapy

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1104105642
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0821 Issued in AZ
Legal business name
MANA'OLANA SPEECH THERAPY
Practice address
5034 S Wild Mare Rd
Tucson, AZ 85757-9246
Phone
(520) 331-6307
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Mrs. Jacqueline M Ortega, SLP-CCCNPI 1093860140
Title
Speech Pathologist
Phone
(520) 331-6307

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP0821 AZ Primary

Addresses

Primary practice location

5034 S Wild Mare Rd
Tucson, AZ 85757-9246

Mailing address

5034 S Wild Mare Rd
Tucson, AZ 85757-9246
Phone (520) 331-6307

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1104105642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 S WILD MARE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857579246",
            "telephone_number": "520-331-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 S WILD MARE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857579246",
            "telephone_number": "520-331-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA'OLANA SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "520-331-6307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0821",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 15, 2011; 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.