Active NPI
Marilyn Klensin-Montrose, SLPA
- Speech-Language Assistant
- Vail, AZ
National Provider Identifier
1154811743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9974
- Practice address
- 13801 E Benson Hwy Unit B
Vail, AZ 85641-9064 - Phone
- (520) 879-2000
- NPI assigned
- May 18, 2018
- Last updated
- May 18, 2018
- 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 Assistant | 2355S0801X | SLPA9974 | AZ | Primary |
Addresses
Primary practice location
13801 E Benson Hwy Unit B
Vail, AZ 85641-9064
Mailing address
8584 E Pantano Crossing CT
Tucson, AZ 85730-2052
Phone (520) 360-0389
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA9974 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1154811743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8584 E PANTANO CROSSING CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857302052",
"telephone_number": "520-360-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 E BENSON HWY UNIT B",
"city": "VAIL",
"state": "AZ",
"postal_code": "856419064",
"telephone_number": "520-879-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLENSIN-MONTROSE",
"first_name": "MARILYN",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vail, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.