Individual provider Active NPI

Audrey Leigh Christians, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Surprise, AZ
National Provider Identifier
1215079231
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0799 Issued in AZ
Practice address
17999 W. Surprise Farms Loop South
Surprise, AZ 85388
Phone
(623) 876-7350
Fax
(623) 876-7361
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0799 AZ Primary

Addresses

Primary practice location

17999 W. Surprise Farms Loop South
Surprise, AZ 85388

Mailing address

6973 W Aire Libre Ave
Peoria, AZ 85382-3987
Phone (623) 466-7471

Other identifiers 1

IdentifierTypeStateIssuer
811100MedicaidAZ

Other names 1

  • Ms. Audrey Leigh Bates Former name

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

LicenseStateTypeSpecialty
SLP0799AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dysart Unified School District Past Accepting new patients

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215079231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 W AIRE LIBRE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823987",
            "telephone_number": "623-466-7471",
            "fax_number": "623-466-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17999 W. SURPRISE FARMS LOOP SOUTH",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85388",
            "telephone_number": "623-876-7350",
            "fax_number": "623-876-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANS",
        "first_name": "AUDREY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "BATES",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.