Individual provider Active NPI

Sydney Jane Soli, MS

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1255486023
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0170 Issued in AZ
Practice address
16675 S 18TH Way
Phoenix, AZ 85048-9450
Phone
(480) 460-2834
Fax
(480) 838-0061
NPI assigned
Jan 24, 2007
Last updated
Feb 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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 SLP0170 AZ Primary

Addresses

Primary practice location

16675 S 18TH Way
Phoenix, AZ 85048-9450

Mailing address

16675 S 18TH Way
Phoenix, AZ 85048-9450
Phone (480) 227-7715

Other identifiers 1

IdentifierTypeStateIssuer
SLP0170OtherAZAZ DEPT HEALTH SERVICES

Other names 1

  • Ms. Sydney Jane Anderson 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
SLP0170AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1255486023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16675 S 18TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489450",
            "telephone_number": "480-227-7715",
            "fax_number": "480-460-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16675 S 18TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489450",
            "telephone_number": "480-460-2834",
            "fax_number": "480-838-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLI",
        "first_name": "SYDNEY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT HEALTH SERVICES",
            "identifier": "SLP0170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "ANDERSON",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 25, 2009; 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.