Active NPI
Matthew Moses Marure
- Speech-Language Pathologist
- Fountain Hills, AZ
National Provider Identifier
1366681140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP9365
- Practice address
- 17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744 - Phone
- (480) 837-4565
- Fax
- (888) 957-8277
- NPI assigned
- Feb 18, 2009
- Last updated
- May 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | SLP9365 | AZ | Primary |
Addresses
Primary practice location
17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744
Mailing address
121 Ward Pkwy Apt 906
Kansas City, MO 64112-2120
Phone (443) 243-5801
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP9365 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1366681140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WARD PKWY APT 906",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122120",
"telephone_number": "443-243-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 225",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686744",
"telephone_number": "480-837-4565",
"fax_number": "888-957-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARURE",
"first_name": "MATTHEW",
"middle_name": "MOSES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP9365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.