Jennifer Dyan Casey, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4017 Issued in AZ

Practice address

20872 E Via del Palo
Queen Creek, AZ 85242-6943

Phone

(480) 993-9279

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174643746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20872 E VIA DEL PALO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20872 E VIA DEL PALO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426943",
            "telephone_number": "480-993-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "JENNIFER",
        "middle_name": "DYAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA MEMBER NUMBER",
            "identifier": "12070825",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucinda Carlson
• Victoria Carlson
• Kimball Jones Carpenter, FNP-C
• Jeff M Carr, PT
• Lasonia Young Carr, FNP-C
• Michelle Cassidy, M.ED., RBT
• Garrett Eugene Cassio, DPT
• Chantal Rose Castillo, LPC
• Stephanie Marie Celis
• Joshua Chapman

• Speech-Language Pathologist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.