Individual provider Active NPI

Sarah Nicole Shipley

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1366019176
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP17846 Issued in AZ
Practice address
4824 E Baseline Rd Ste 124
Mesa, AZ 85206-4679
Phone
(480) 389-6749
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA13094 AZ
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X TSLP17846 AZ Primary

Addresses

Primary practice location

4824 E Baseline Rd Ste 124
Mesa, AZ 85206-4679

Mailing address

4101 E Baseline Rd Apt 821
Gilbert, AZ 85234-9111
Phone (602) 791-3565

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

State licenses

LicenseStateTypeSpecialty
SLPA13094AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Tree Group PLLC CurrentSince Dec 13, 2022 Accepting new patients
Therapy Tree, PLLC PastSince Jun 15, 2021 Accepting new patients

Locations

20329 N 59th Ave
Ste A2
Glendale, AZ 85308
Phone (623) 500-2401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1366019176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E BASELINE RD APT 821",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349111",
            "telephone_number": "602-791-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 124",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064679",
            "telephone_number": "480-389-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13094",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP17846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.