Active NPI
Tatum Pauline Budreau, M.S., CCC-SLP
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1366560310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4273
- Practice address
- 6936 E 4TH St
#18
Scottsdale, AZ 85251-5561 - Phone
- (480) 229-8676
- Fax
- (480) 626-1539
- NPI assigned
- Mar 27, 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 | SLP4273 | AZ | Primary |
Addresses
Primary practice location
6936 E 4TH St
#18
Scottsdale, AZ 85251-5561
Mailing address
6936 E 4TH St
#18
Scottsdale, AZ 85251-5561
Phone (480) 229-8676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 829525 | 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 |
|---|---|---|---|
| SLP4273 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366560310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6936 E 4TH ST",
"address_2": "#18",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515561",
"telephone_number": "480-229-8676",
"fax_number": "480-626-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6936 E 4TH ST",
"address_2": "#18",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515561",
"telephone_number": "480-229-8676",
"fax_number": "480-626-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDREAU",
"first_name": "TATUM",
"middle_name": "PAULINE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "829525",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
- Melanie A Bucon, PT
- Matthew Bucur, PHARMD
- Kiilani Kristen Lois Buczkowski, NP-C
- Amanda Budach, PT
- Pooja Budhiraja, M.D
- Amber Leigh Buell, ME
- Janice Michelle Buell, NURSE PRACTITIONER
- Buena Vista Recovery, LLC (Buena Vista Health and Recovery Centers)
- Lauren Alexis Bueno, PA-C
- Whitney Buesgens, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.