Active NPI
Sydney Jane Soli, MS
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1255486023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0170
- 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, 2009
- 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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP0170 | Other | AZ | AZ DEPT HEALTH SERVICES |
Other names 1
- Ms. Sydney Jane Anderson
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0170 | AZ | MD | Speech-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.