Individual provider Active NPI

Jatzen Sayleen Hurtado Short, M.S.

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1154616225
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP9056 Issued in AZ
Practice address
11040 E Cactus Spine Rd
Tucson, AZ 85748-3557
Phone
(520) 304-5938
NPI assigned
Jun 16, 2011
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP9056 AZ Primary

Addresses

Primary practice location

11040 E Cactus Spine Rd
Tucson, AZ 85748-3557

Mailing address

120 S Houghton Rd Ste 138-145
Tucson, AZ 85748-6731
Phone (520) 304-5938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721001875 AZ Practitioner - Qualified Speech Language Pathologist 3678886538 Reassigns benefits to 2 organizations

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
Sky Therapy Group PLLCGroup PAC ID 1254840200, 2 clinicians

Practice addresses (Care Compare)

7660 E Broadway Blvd
Suite 101
Tucson, AZ 85710-3759
Phone (520) 703-6483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP9056AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Therapy Group PLLC CurrentSince Apr 28, 2025 Accepting new patients
Inbalance PT LLC CurrentSince Aug 1, 2017 Accepting new patients
Healthy Brain Aging, LLC PastSince Sep 1, 2019 Accepting new patients
Speech Therapy Group of Tucson PLLC Speech-Language Pathologist Past Accepting new patients

Locations

36397 N Gantzel Rd
Ste 102
San Tan Vly, AZ 85140
Phone (480) 567-2231

7650 E Broadway Blvd
Ste 105
Tucson, AZ 85710
Phone (520) 731-1117

7660 E Broadway Blvd
Ste 101
Tucson, AZ 85710
Phone (520) 703-6483

Organizations & group practices 4

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1154616225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HOUGHTON RD STE 138-145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486731",
            "telephone_number": "520-304-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 E CACTUS SPINE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483557",
            "telephone_number": "520-304-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO SHORT",
        "first_name": "JATZEN",
        "middle_name": "SAYLEEN",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP9056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.