Individual provider Active NPI

Deborah S Fash, SLP-CCC

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1376867085
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0120 Issued in AZ
Practice address
1300 N 77TH St
Scottsdale, AZ 85257-3776
Phone
(480) 946-9112
Fax
(840) 946-2657
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0120 AZ Primary

Addresses

Primary practice location

1300 N 77TH St
Scottsdale, AZ 85257-3776

Mailing address

1300 N 77TH St
Scottsdale, AZ 85257-3776
Phone (480) 946-9112

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
SLP0120AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Way Learning Academy Past Accepting new patients

Organizations & group practices 1

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1376867085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 77TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573776",
            "telephone_number": "480-946-9112",
            "fax_number": "840-946-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 77TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573776",
            "telephone_number": "480-946-9112",
            "fax_number": "840-946-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASH",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.