Active NPI
Naomi Peng
- Speech-Language Assistant
- Maricopa, AZ
National Provider Identifier
1184031049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA8875
- Practice address
- 42549 W Somerset Dr
Maricopa, AZ 85138-3065 - Phone
- (480) 584-1965
- NPI assigned
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | SLPA8875 | AZ | Primary |
Addresses
Primary practice location
42549 W Somerset Dr
Maricopa, AZ 85138-3065
Mailing address
42549 W Somerset Dr
Maricopa, AZ 85138-3065
Phone (480) 584-1965
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 |
|---|---|---|---|
| SLPA8875 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405123200000",
"number": "1184031049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42549 W SOMERSET DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851383065",
"telephone_number": "480-584-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42549 W SOMERSET DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851383065",
"telephone_number": "480-584-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "NAOMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA8875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.