Active NPI
Nicholas Scott Becker
- Speech-Language Pathologist
- Chandler, AZ
National Provider Identifier
1205260825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP8522
- Practice address
- 2040 S Alma School Rd Ste 1
Chandler, AZ 85286-7076 - Phone
- (602) 323-8094
- Fax
- (602) 445-9337
- NPI assigned
- Aug 30, 2013
- Sex
- Male
- Sole proprietor
- No
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 Pathologist | 235Z00000X | TSLP8522 | AZ | Primary |
Addresses
Primary practice location
2040 S Alma School Rd Ste 1
Chandler, AZ 85286-7076
Mailing address
3187 N 142ND Dr
Goodyear, AZ 85395-8349
Phone (623) 687-5355
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 |
|---|---|---|---|
| TSLP8522 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1205260825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3187 N 142ND DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853958349",
"telephone_number": "623-687-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 S ALMA SCHOOL RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867076",
"telephone_number": "602-323-8094",
"fax_number": "602-445-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "NICHOLAS",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-30",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP8522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.