Individual provider Active NPI

Miral Elias Ghattas, SLPA

  • Speech-Language Assistant
  • Gilbert, AZ
National Provider Identifier
1124832647
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA15913 Issued in AZ
Practice address
3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750
Phone
(480) 787-5387
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA15913 AZ Primary

Addresses

Primary practice location

3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750

Mailing address

9150 W Indian School Rd Ste 130
Phoenix, AZ 85037-2388

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

State licenses

LicenseStateTypeSpecialty
SLPA15913AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1124832647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 E BASELINE RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342750",
            "telephone_number": "480-787-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATTAS",
        "first_name": "MIRAL",
        "middle_name": "ELIAS",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA15913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.