Individual provider Active NPI

Kristyn Newbrough, SLPA

  • Speech-Language Assistant
  • Litchfield Park, AZ
National Provider Identifier
1174860803
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA7884 Issued in AZ
Practice address
272 E Sagebrush St
Litchfield Park, AZ 85340-4934
Phone
(623) 535-6000
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA7884 AZ Primary

Addresses

Primary practice location

272 E Sagebrush St
Litchfield Park, AZ 85340-4934

Mailing address

272 E Sagebrush St
Litchfield Park, AZ 85340-4934
Phone (623) 535-6000

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

LicenseStateTypeSpecialty
SLPA7884AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield School District #79 Past Accepting new patients
Corte Sierra Elementary School Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1174860803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934",
            "telephone_number": "623-535-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934",
            "telephone_number": "623-535-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBROUGH",
        "first_name": "KRISTYN",
        "name_prefix": "Ms.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.