Active NPI
Maria R. M. D. Hase, SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1396891115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4810
- Practice address
- 4610 E Osborn Rd
Phoenix, AZ 85018-6018 - Phone
- (480) 484-3495
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SLP4810 | AZ | Primary |
Addresses
Primary practice location
4610 E Osborn Rd
Phoenix, AZ 85018-6018
Mailing address
4620 E Mountain Sage Dr
Phoenix, AZ 85044-6088
Phone (480) 704-1517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1282 E Geronimo PL
Chandler, AZ 85225-2048
13836 S 40TH St
Unit 1004
Phoenix, AZ 85044-4611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4810 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396891115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 E MOUNTAIN SAGE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446088",
"telephone_number": "480-704-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 E OSBORN RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850186018",
"telephone_number": "480-484-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASE",
"first_name": "MARIA",
"middle_name": "R. M. D.",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.