Individual provider Active NPI

Elizabeth Momilani Romero-Merzthal, MS. CCC-SLP

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1295856201
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP11196 Issued in AZ
Practice address
2353 E Bantam Rd
Tucson, AZ 85706-1762
Phone
(520) 545-2900
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 SLP11196 AZ Primary

Addresses

Primary practice location

2353 E Bantam Rd
Tucson, AZ 85706-1762

Mailing address

101 S Players Club Dr Apt 4101
Tucson, AZ 85745-5043
Phone (520) 784-3281

Other identifiers 1

IdentifierTypeStateIssuer
1295856201MedicaidAZ

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

LicenseStateTypeSpecialty
SLP11196AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1295856201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PLAYERS CLUB DR APT 4101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857455043",
            "telephone_number": "520-784-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 E BANTAM RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857061762",
            "telephone_number": "520-545-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO-MERZTHAL",
        "first_name": "ELIZABETH",
        "middle_name": "MOMILANI",
        "name_prefix": "Mrs.",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP11196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295856201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.