Active NPI
Marie Ellen Fritz, MA-CCC-SLP
- Speech-Language Pathologist
- Buckeye, AZ
National Provider Identifier
1255680690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP7863
- Practice address
- 25555 W Durango St
Buckeye, AZ 85326-9176 - Phone
- (623) 925-3400
- NPI assigned
- Aug 30, 2012
- 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 | SLP7863 | AZ | Primary |
Addresses
Primary practice location
25555 W Durango St
Buckeye, AZ 85326-9176
Mailing address
7466 S Sunset Way
Buckeye, AZ 85326-1071
Phone (605) 413-3146
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 |
|---|---|---|---|
| SLP7863 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1255680690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7466 S SUNSET WAY",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853261071",
"telephone_number": "605-413-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25555 W DURANGO ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853269176",
"telephone_number": "623-925-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "MARIE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "MA-CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP7863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.