Makena Alyse Smith, BS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP13408 Issued in AZ

Practice address

14040 N Cave Creek Rd Ste 301
Phoenix, AZ 85022-6180

Phone

(602) 299-7475

NPI assigned

Sep 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1326717380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26177 N 107TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853839813",
            "telephone_number": "623-363-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226180",
            "telephone_number": "602-299-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 W Indian School Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850372385",
            "country_code": "US",
            "telephone_number": "480-787-5387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAKENA",
        "middle_name": "ALYSE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP13408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Smith, DPT
• Lisa Marie Smith
• Lori L Smith, PTA
• Lori M Smith
• Lucas Allen Smith
• Marina Smith
• Marissa Smith
• Mark Smith, PHARM D
• Marley Nicole Smith, PA-C
• Marshall L Smith

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.