Andrea Nazareno

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA14361 Issued in AZ

Practice address

2013 N 36TH St
Phoenix, AZ 85008-3098

Phone

(602) 381-6000

NPI assigned

Aug 2, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1356023014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W INDIAN SCHOOL RD APT 89",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133165",
            "telephone_number": "480-694-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 N 36TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083098",
            "telephone_number": "602-381-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 E Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850061324",
            "country_code": "US",
            "telephone_number": "602-381-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZARENO",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Shahram Nawab, M.D.
• Noah Lee Ahmad Nawabi
• Azhar Nawaz, PHARMD
• Anjali B Nayak, M.D.
• Nazarene Restoration House
• Ivette Nazario, R.N.
• Mishel Nazarko, PHARMD
• Hermine Nazikian, APRN
• Khaja Nazimuddin, PHARMACIST
• Nba Dental Group, PC

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, 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 Aug 16, 2023; 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.