Active NPI
Loni Kay Woodall-Sanders, M.S., CCC-SLP
- Speech-Language Pathologist
- Safford, AZ
National Provider Identifier
1336266824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 4807
- Practice address
- 250 W 15TH St
Safford, AZ 85546-2529 - Phone
- (928) 348-8825
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SLP 4807 | AZ | Primary |
Addresses
Primary practice location
250 W 15TH St
Safford, AZ 85546-2529
Mailing address
PO Box 165
Pima, AZ 85543-0165
Phone (480) 247-0192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124193 | Medicaid | AZ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 4807 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1336266824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "PIMA",
"state": "AZ",
"postal_code": "855430165",
"telephone_number": "480-247-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 15TH ST",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855462529",
"telephone_number": "928-348-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODALL-SANDERS",
"first_name": "LONI",
"middle_name": "KAY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP 4807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124193",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.