Active NPI
Carly Ann Scott, M.S.
- Speech-Language Pathologist
- Sahuarita, AZ
National Provider Identifier
1386859965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4622
- Practice address
- 309 W Vuelta Friso
Sahuarita, AZ 85629-8671 - Phone
- (520) 465-2659
- Fax
- (520) 886-6878
- NPI assigned
- May 14, 2007
- Sex
- Female
- 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 | SLP4622 | AZ | Primary |
Addresses
Primary practice location
309 W Vuelta Friso
Sahuarita, AZ 85629-8671
Mailing address
309 W Vuelta Friso
Sahuarita, AZ 85629-8671
Phone (520) 465-2659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164513 | Other | AZ | AHCCCS PROVIDER NUMBER |
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 |
|---|---|---|---|
| SLP4622 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386859965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W VUELTA FRISO",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298671",
"telephone_number": "520-465-2659",
"fax_number": "520-886-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W VUELTA FRISO",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298671",
"telephone_number": "520-465-2659",
"fax_number": "520-886-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CARLY",
"middle_name": "ANN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PROVIDER NUMBER",
"identifier": "164513",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sahuarita, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.