Individual provider Active NPI

Denise Stats-Caldwell, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Tempe, AZ
National Provider Identifier
1285890780
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1091 Issued in AZ
Practice address
975 S. Myrtle Ave.
Asu - Speech & Hearing Science
Tempe, AZ 85281
Phone
(480) 965-3307
Fax
(480) 965-0076
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1091 AZ Primary

Addresses

Primary practice location

975 S. Myrtle Ave.
Asu - Speech & Hearing Science
Tempe, AZ 85281

Mailing address

975 S. Myrtle Ave.
Asu - Speech & Hearing Science
Tempe, AZ 85281
Phone (480) 965-3307

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1091AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona State University CurrentSince Jun 1, 2020 Accepting new patients
Arizona State University Past Accepting new patients

Locations

975 S Myrtle Ave
Tempe, AZ 85287

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1285890780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S. MYRTLE AVE.",
            "address_2": "ASU - SPEECH & HEARING SCIENCE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-965-3307",
            "fax_number": "480-965-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S. MYRTLE AVE.",
            "address_2": "ASU - SPEECH & HEARING SCIENCE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-965-3307",
            "fax_number": "480-965-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATS-CALDWELL",
        "first_name": "DENISE",
        "name_prefix": "Prof.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "1091",
            "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 Aug 4, 2008; 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.