Individual provider Active NPI

Stephanie Munley, SLP-CFY

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1225417751
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP9391 Issued in AZ
Practice address
551 S Higley Rd
Mesa, AZ 85206-2148
Phone
(480) 892-9777
Fax
(480) 635-0222
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 TSLP9391 AZ Primary

Addresses

Primary practice location

551 S Higley Rd
Mesa, AZ 85206-2148

Mailing address

551 S Higley Rd
Mesa, AZ 85206-2148
Phone (480) 892-9777

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
TSLP9391AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Developmental Disabilities, LLC Speech-Language Pathologist Past Accepting new patients
Bright Horizon Rehab Therapy, LLC Speech-Language Pathologist Past Accepting new patients
Horizon Pediatric Therapy, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1225417751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S HIGLEY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062148",
            "telephone_number": "480-892-9777",
            "fax_number": "480-635-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S HIGLEY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062148",
            "telephone_number": "480-892-9777",
            "fax_number": "480-635-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNLEY",
        "first_name": "STEPHANIE",
        "credential": "SLP-CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP9391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.