Luzmaria Acevedo-Banuelos, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA11069 Issued in AZ

Practice address

20329 N 59TH Ave Ste A2
Glendale, AZ 85308-6854

Phone

(623) 500-2401

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy Tree, PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1306240817
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1336631852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 W WINDSOR BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017306",
            "telephone_number": "623-206-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20329 N 59TH AVE STE A2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086854",
            "telephone_number": "623-500-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO-BANUELOS",
        "first_name": "LUZMARIA",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA11069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "SLPA11069",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randa Abushanab
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• Accura Home Health Services, LLC
• Aces 2020, LLC
• Aces 2020, LLC
• Chidinma Faith Acheampong, NP
• Achieve Physical Therapy of Arizona, PLLC
• Achievers Dynamic Systems International USA LLC
• Bryan Acosta, M.S., CCC-SLP
• Emily Marie Acosta

• Speech-Language Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.