Active NPI
Aubrey Taylor Dunlap, MS, CCC-SLP
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1124749247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 19555 N 59TH Ave
Glendale, AZ 85308-6813 - Phone
- (623) 537-6000
- NPI assigned
- Sep 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
19555 N 59TH Ave
Glendale, AZ 85308-6813
Mailing address
1118 E Manhatton Dr
Tempe, AZ 85282-5524
Phone (585) 698-0271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14040216 | Other | AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION | |
| SLP8674 | Other | AZ | SPEECH LANGUAGE PATHOLOGY LICENSE |
Other names 1
- Aubrey Taylor Klingensmith
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 6235376221 | Direct | MIDWESTERN UNIVERSITY |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1124749247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 E MANHATTON DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825524",
"telephone_number": "585-698-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19555 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086813",
"telephone_number": "623-537-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "AUBREY",
"middle_name": "TAYLOR",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
"identifier": "14040216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE",
"identifier": "SLP8674",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "6235376221",
"affiliation": "Y",
"endpointDescription": "fax",
"affiliationName": "MIDWESTERN UNIVERSITY",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fax",
"address_1": "19555 N 59th Ave",
"city": "Glendale",
"state": "AZ",
"country_code": "US",
"postal_code": "853086813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "KLINGENSMITH",
"middle_name": "TAYLOR",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.