Individual provider Active NPI

Brittney Smith, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1154985158
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP12344 Issued in AZ
Practice address
63 E Main St Ste 101
Mesa, AZ 85201-7422
Phone
(480) 472-0000
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PSLP.0000481 CO
Speech-Language Pathologist 235Z00000X SLP12344 AZ Primary

Addresses

Primary practice location

63 E Main St Ste 101
Mesa, AZ 85201-7422

Mailing address

2604 E Page Ave
Gilbert, AZ 85234-6311

Other practice location 1

4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534
Phone (303) 432-8487

Other identifiers 1

IdentifierTypeStateIssuer
14338018OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP12344AZMDSpeech-Language Pathologist
PSLP.0000481COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1154985158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E PAGE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852346311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E MAIN ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017422",
            "telephone_number": "480-472-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 E Cherry Creek South Dr Ste 710",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461534",
            "country_code": "US",
            "telephone_number": "303-432-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRITTNEY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0000481",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14338018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.