Active NPI
Mayra Patricia Morales
- Speech-Language Assistant
- Pinetop, AZ
National Provider Identifier
1396615654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA16885
- Practice address
- 2824 Beavertail LN
Pinetop, AZ 85935-7247 - Phone
- (928) 361-9200
- Fax
- (928) 361-9300
- NPI assigned
- Nov 10, 2025
- 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 Assistant | 2355S0801X | SLPA16885 | AZ | Primary |
Addresses
Primary practice location
2824 Beavertail LN
Pinetop, AZ 85935-7247
Mailing address
PO Box 8344
San Luis, AZ 85349-6826
Phone (928) 361-9200
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 |
|---|---|---|---|
| SLPA16885 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1396615654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8344",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853496826",
"telephone_number": "928-361-9200",
"fax_number": "928-361-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 BEAVERTAIL LN",
"city": "PINETOP",
"state": "AZ",
"postal_code": "859357247",
"telephone_number": "928-361-9200",
"fax_number": "928-361-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "MAYRA",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA16885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinetop, AZ
- Christina Marie Kelley, DSW, LCSW, LISAC
- Ladys Choice LLC
- Kimberly J Marbello, PHARM.D.
- Michael B Hall PLLC
- Morada Behavioral Health Center
- Thomas Samuel Paxman, DO
- Pinetop Behavioral Health LLC
- Pinetop Medical Associates LTD (Blue Ridge Regional Clinic)
- Pinetop Treatment Center LLC
- Pinetop Volunteer Fire District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.