Aubrie Ganem, AZ SLP-A #13022

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

13022 Issued in AZ

Practice address

1252 S Avondale Blvd
Avondale, AZ 85323-8900

Phone

(623) 478-5700

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1215607718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E DECATUR ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852036658",
            "telephone_number": "602-616-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 S AVONDALE BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238900",
            "telephone_number": "623-478-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANEM",
        "first_name": "AUBRIE",
        "name_prefix": "Miss",
        "credential": "AZ SLP-A #13022",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "13022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP-A LICENSE",
            "identifier": "13022",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ganem.aubrie@littletonaz.org",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct work email",
            "address_1": "1252 S Avondale Blvd",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853238900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Gallegos
• Amber Galles
• Andrew Galvez, OTD, OTR/L
• Daniel Galvez
• Maritza Isabel Gamez
• Vishal Ataish Ganesh, M.D.
• Amy Ganyukov, RD
• Karla Garcia Torres, LAC
• Brianna Garcia
• Fernanda Garcia

• Speech-Language Assistant in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.