Stephanie Marie Mattingley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP9440 Issued in AZ

Practice address

995 E Baseline Rd Apt 1137
Tempe, AZ 85283-1353

Phone

(949) 701-5196

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1376135574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 E INDIAN SCHOOL RD APT 28",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185363",
            "telephone_number": "949-701-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 E BASELINE RD APT 1137",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831353",
            "telephone_number": "949-701-5196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17300 N 88th Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853823501",
            "country_code": "US",
            "telephone_number": "623-972-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINGLEY",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9440",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Colby, DC, PLLC
• Nicole Renee Matthews
• Tianna Matthews, LAC
• Carrie Marie Mattie, NP
• Kianna Mattie, LMSW
• Lisa M Maturo, ND
• Anne Marie Mauricio, PH.D.
• Max Care
• Maxim Chiropractic and Rehabilitation Center PLLC
• Maximum Family Care LLC

• Speech-Language Pathologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.