Andrea Marie McDermet, CSLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA15552 Issued in AZ

Practice address

4545 N 36TH St
125A
Phoenix, AZ 85018-3462

Phone

(602) 224-0202

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Webster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Arizona Institute for Communication & Cognitive Disorders Inc

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1013134170
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1104261676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST",
            "address_2": "125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183462",
            "telephone_number": "602-224-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST",
            "address_2": "125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183462",
            "telephone_number": "602-224-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMET",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "CSLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7724",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA15552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WEBSTER",
            "credential": "SLPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Claire McDaniel
• Robin McDaniel, DPT
• Takasia Alae McDaniel, BCBA
• Carmelita McDaniels
• Leita McDavid, RN, BSN
• Douglas McDermet
• Catherine A McDermott, DO
• Jamie Iwalani McDermott
• Jilian McDermott, APRN, PMHNP-BC
• Linda Mae McDermott, RN057451

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, 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 Sep 18, 2024; 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.