Individual provider Active NPI

Genna Eve Lowe, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1124334958
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6948 Issued in AZ
Practice address
21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717
Phone
(602) 726-2300
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP6948 AZ
Speech-Language Pathologist 235Z00000X SLP6948 AZ Primary

Addresses

Primary practice location

21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717

Mailing address

7208 W Morrow Dr
Glendale, AZ 85308-5845
Phone (602) 616-2227

Other practice location 1

5040 E Shea Blvd Ste 168
Scottsdale, AZ 85254-4686
Phone (480) 483-1025

Other names 1

  • Genna Eve Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210002906 AZ Practitioner - Qualified Speech Language Pathologist 1456784107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP6948AZMDSpeech-Language Pathologist
TSLP6948AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Speech-Language Pathologist CurrentSince Nov 1, 2019 Accepting new patients
Achievement Therapy Services Past Accepting new patients
Kidzspot Pediatric Therapy-East Valley Speech-Language Pathologist Past Accepting new patients

Locations

21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601

21630 N 19th Ave
Ste B3
Phoenix, AZ 85027
Phone (480) 235-7588

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1124334958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 W MORROW DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085845",
            "telephone_number": "602-616-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE STE B3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272717",
            "telephone_number": "602-726-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 E Shea Blvd Ste 168",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544686",
            "country_code": "US",
            "telephone_number": "480-483-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "GENNA",
        "middle_name": "EVE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6948",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENNA",
            "last_name": "CLARK",
            "middle_name": "EVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.