Active NPI
Charissa Wee, MS
- Speech-Language Pathologist
- Casa Grande, AZ
National Provider Identifier
1295235505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6229
- Practice address
- 1828 E Florence Blvd
Casa Grande, AZ 85122-4783 - Phone
- (520) 381-6326
- NPI assigned
- Feb 14, 2018
- 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 | 6229 | AZ | Primary |
Addresses
Primary practice location
1828 E Florence Blvd
Casa Grande, AZ 85122-4783
Mailing address
404 W Fabens LN
Gilbert, AZ 85233-5314
Phone (480) 849-4728
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6229 | AZ | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1295235505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W FABENS LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335314",
"telephone_number": "480-849-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 E FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224783",
"telephone_number": "520-381-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEE",
"first_name": "CHARISSA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "6229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.