Active NPI
Kipperly Gayle Ann Watkins
- Speech-Language Assistant
- Tempe, AZ
National Provider Identifier
1285778118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 3839546
- Practice address
- 1600 E Watson Dr
Tempe, AZ 85283-3147 - Phone
- (480) 897-6063
- Fax
- (480) 838-0853
- NPI assigned
- Feb 16, 2007
- 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 Assistant | 2355S0801X | 3839546 | AZ | Primary |
Addresses
Primary practice location
1600 E Watson Dr
Tempe, AZ 85283-3147
Mailing address
3255 S Dorsey LN
#1076
Tempe, AZ 85282-3900
Phone (480) 897-6063
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 |
|---|---|---|---|
| 3839546 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285778118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 S DORSEY LN",
"address_2": "#1076",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852823900",
"telephone_number": "480-897-6063",
"fax_number": "480-838-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E WATSON DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833147",
"telephone_number": "480-897-6063",
"fax_number": "480-838-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "KIPPERLY",
"middle_name": "GAYLE ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "3839546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.