Fiesta Pediatric Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

TSLP9051 Issued in AZ

Legal business name

FIESTA PEDIATRIC THERAPY

Practice address

2302 N 15TH Ave
Phoenix, AZ 85007-1201

Phone

(602) 396-4374

NPI assigned

Jun 4, 2015

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Vanessa Gaiser, CCC-SLP

Title

Speech Language Pathologist

Phone

(602) 396-4374

Specialties & licenses 1

Addresses

Tax ID family

Fiesta Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fiesta Pediatric Therapy

  • Speech-Language Pathologist
  • Mesa, AZ
  • NPI 1508931569
  NPD tax ID

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1255711131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071201",
            "telephone_number": "602-396-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071201",
            "telephone_number": "602-396-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "GAISER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "602-396-4374",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "TSLP9051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Samuel Fierro, DTR
• Jordan Fierro
• Phillip J. Fierro, D.C.
• Amber Elizabeth Fierros
• Jason Fierstein, LPC
• Christina Fife, LAC
• Kris Fife
• Terry D Fife, MD
• Belma Fific, CRNA
• Fifth Avenue Gynecologists LTD

• Early Intervention Provider Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Early Intervention Provider Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.