Active NPI
Celeste Smith
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1235979147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA15207
- Practice address
- 2601 E Thomas Rd Ste 115
Phoenix, AZ 85016-8222 - Phone
- (623) 300-3999
- NPI assigned
- May 29, 2024
- 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 | SLPA15207 | AZ | Primary |
Addresses
Primary practice location
2601 E Thomas Rd Ste 115
Phoenix, AZ 85016-8222
Mailing address
1122 W 6TH PL
Mesa, AZ 85201-4708
Phone (480) 622-8123
Other practice location 1
6635 W Happy Valley Rd Ste A104-218
Glendale, AZ 85310-2609
Phone (623) 224-1214
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 |
|---|---|---|---|
| SLPA15207 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1235979147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 W 6TH PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852014708",
"telephone_number": "480-622-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E THOMAS RD STE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168222",
"telephone_number": "623-300-3999"
}
],
"practiceLocations": [
{
"address_1": "6635 W Happy Valley Rd Ste A104-218",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853102609",
"country_code": "US",
"telephone_number": "623-224-1214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CELESTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA15207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.