Active NPI
Monica L. Avina-Vizzerra, M.S.
- Speech-Language Pathologist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP6853
- Practice address
- 3401 N 67TH Ave
Phoenix, AZ 85033-4517 - Phone
- (623) 691-4085
- NPI assigned
- Sep 1, 2010
- Last updated
- Sep 1, 2010
- 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 | TSLP6853 | AZ | Primary |
Addresses
Primary practice location
3401 N 67TH Ave
Phoenix, AZ 85033-4517
Mailing address
368 Ancora Dr S
Litchfield Park, AZ 85340-4639
Phone (602) 770-3307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP6853 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Therapy Tree, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
| Therapy Tree Group PLLC | Past | Accepting new patients |
Locations
21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona Autism
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
Speech-Language Pathologist
-
- Hearing and Speech Clinic/Center
- Phoenix, AZ
- NPI 1306240817
Speech-Language Pathologist
-
- Hearing and Speech Clinic/Center
- Houston, TX
- NPI 1689385973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1306153028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 ANCORA DR S",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853404639",
"telephone_number": "602-770-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N 67TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850334517",
"telephone_number": "623-691-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVINA-VIZZERRA",
"first_name": "MONICA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP6853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.