Active NPI
Joanna Dub
- Speech-Language Assistant
- Litchfield Park, AZ
National Provider Identifier
1285017970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9304
- Practice address
- 4870 N Litchfield Rd
Litchfield Park, AZ 85340-5041 - Phone
- (623) 299-9442
- NPI assigned
- Jun 30, 2015
- Last updated
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | SLPA9304 | AZ | Primary |
Addresses
Primary practice location
4870 N Litchfield Rd
Litchfield Park, AZ 85340-5041
Mailing address
18646 W Onyx Ave
Waddell, AZ 85355-4447
Phone (516) 353-0585
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 |
|---|---|---|---|
| SLPA9304 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1285017970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18646 W ONYX AVE",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853554447",
"telephone_number": "516-353-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 N LITCHFIELD RD",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405041",
"telephone_number": "623-299-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUB",
"first_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.