Active NPI
Brittney Smith, M.S. CCC-SLP
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1154985158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP12344
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14338018 | Other | AMERICAN 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP12344 | AZ | MD | Speech-Language Pathologist |
| PSLP.0000481 | CO | MD | Speech-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.