Organization Active NPI

Evangelina Gonzalez Speech LLC

  • Early Intervention Provider Agency
  • Phoenix, AZ
National Provider Identifier
1134594153
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SLPA9604 Issued in AZ
Legal business name
EVANGELINA GONZALEZ SPEECH LLC
Practice address
6622 W. Taylor St.
Phoenix, AZ 85043-1504
Phone
(602) 326-2063
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Evangelina Gonzalez
Title
Slpa
Phone
(602) 326-2063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SLPA9604 AZ Primary

Addresses

Primary practice location

6622 W. Taylor St.
Phoenix, AZ 85043-1504

Mailing address

6622 W Taylor St
Phoenix, AZ 85043-5083
Phone (602) 326-2063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1134594153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 W TAYLOR ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850435083",
            "telephone_number": "602-326-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 W. TAYLOR ST.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431504",
            "telephone_number": "602-326-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINA GONZALEZ SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EVANGELINA",
        "authorized_official_title_or_position": "SLPA",
        "authorized_official_telephone_number": "602-326-2063"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "SLPA9604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 2, 2015; 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.