Active NPI
Kendal Lee Cameron
- Speech-Language Assistant
- Tempe, AZ
National Provider Identifier
1124653811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310 - Phone
- (480) 374-4341
- NPI assigned
- Mar 3, 2020
- Last updated
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | NU | Primary |
Addresses
Primary practice location
1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310
Mailing address
1535 N Scottsdale Rd Apt 3106
Tempe, AZ 85281-1596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XDM887A80054 | Other | CA | BLUE CROSS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Speech Services LLC | Current | Accepting new patients |
Locations
1 W Elliot Rd
Ste 109
Tempe, AZ 85284
Phone (480) 374-4341
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Tempe, AZ
- NPI 1922531045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1124653811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 N SCOTTSDALE RD APT 3106",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W ELLIOT RD STE 109",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841310",
"telephone_number": "480-374-4341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "KENDAL",
"middle_name": "LEE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "XDM887A80054",
"state": "CA"
}
],
"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 Mar 3, 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.