Individual provider Active NPI

Lisa Beth Seidenberg

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1326583790
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9739 Issued in AZ
Practice address
2221 N Rosemont Blvd
Tucson, AZ 85712-2113
Phone
(520) 881-2323
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 9739 AZ Primary

Addresses

Primary practice location

2221 N Rosemont Blvd
Tucson, AZ 85712-2113

Mailing address

6795 E Calle la Paz
Unit 5201
Tucson, AZ 85715-9015

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

State licenses

LicenseStateTypeSpecialty
9739AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Rehab 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1326583790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E CALLE LA PAZ",
            "address_2": "UNIT 5201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857159015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122113",
            "telephone_number": "520-881-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDENBERG",
        "first_name": "LISA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2016; 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.