Individual provider Active NPI

Diane L. Naslund

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1316084833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0404 Issued in AZ
Practice address
3811 N 44TH St
Phoenix, AZ 85018-5420
Phone
(480) 484-6100
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP0404 AZ Primary

Addresses

Primary practice location

3811 N 44TH St
Phoenix, AZ 85018-5420

Mailing address

49822 N 21St LN
New River, AZ 85087-8036
Phone (623) 772-0215

Other identifiers 1

IdentifierTypeStateIssuer
623019OtherAZAHCCCS PROVIDER PIN #

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
SLP0404AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Unified School District Past Accepting new patients

Organizations & group practices 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316084833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49822 N 21ST LN",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850878036",
            "telephone_number": "623-772-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185420",
            "telephone_number": "480-484-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASLUND",
        "first_name": "DIANE",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER PIN #",
            "identifier": "623019",
            "state": "AZ"
        }
    ],
    "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 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.

Verify at the official NPI Registry.