Active NPI
Jonathan Barsness, M.S.
- Speech-Language Pathologist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4734123
- Practice address
- 3285 E Sparrow Ave
Flagstaff, AZ 86004-7794 - Phone
- (928) 527-6166
- NPI assigned
- Mar 4, 2015
- Last updated
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP9276 | AZ | |
| Speech-Language Pathologist | 235Z00000X | 4734123 | AZ | Primary |
Addresses
Primary practice location
3285 E Sparrow Ave
Flagstaff, AZ 86004-7794
Mailing address
8085 Pine Country LN
Flagstaff, AZ 86004-1215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2248 N Alma School Rd
Suite 102
Chandler, AZ 85224-2488
Phone (480) 935-0614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4734123 | AZ | MD | Speech-Language Pathologist |
| TSLP9276 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Grulke, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2248 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 899-9484
2950 N Dobson Rd
Ste 3
Chandler, AZ 85224
Phone 4809350614407
5750 W Thunderbird Rd
Ste E500
Glendale, AZ 85306
Phone (602) 938-6960
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1144612854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8085 PINE COUNTRY LN",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 E SPARROW AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047794",
"telephone_number": "928-527-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSNESS",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP9276",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "4734123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.