Active NPI
Margaret K Jetty, M.S., CCC-SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1265749048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP6968
- Practice address
- 1350 S 11TH St
Phoenix, AZ 85034-4537 - Phone
- (602) 452-6943
- NPI assigned
- Sep 1, 2010
- 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 | SLP6968 | AZ | Primary |
Addresses
Primary practice location
1350 S 11TH St
Phoenix, AZ 85034-4537
Mailing address
1350 S 11TH St
Phoenix, AZ 85034-4537
Phone (480) 286-8720
Other names 1
- Maggie K Jetty
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 |
|---|---|---|---|
| SLP6968 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1265749048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 S 11TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850344537",
"telephone_number": "480-286-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S 11TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850344537",
"telephone_number": "602-452-6943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETTY",
"first_name": "MARGARET",
"middle_name": "K",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP6968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "JETTY",
"middle_name": "K",
"credential": "M.S., CCC-SLP",
"code": "2",
"type": "Professional 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 Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.