Individual provider Active NPI

John Vincent Herrera, SLPA

  • Speech-Language Assistant
  • Scottsdale, AZ
National Provider Identifier
1407495591
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA12216 Issued in AZ
Practice address
14825 N 54TH PL
Scottsdale, AZ 85254-2369
Phone
(480) 242-5903
Fax
(602) 218-6462
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X SLPA12216 AZ
Speech-Language Assistant 2355S0801X SLPA12216 AZ Primary

Addresses

Primary practice location

14825 N 54TH PL
Scottsdale, AZ 85254-2369

Mailing address

21345 W Alvarado Rd
Buckeye, AZ 85396-2522
Phone (623) 225-5594

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
SLPA12216AZMDHomeopath

Practice roles

OrganizationSpecialtyStatusNew patients
Wheels on the Bus, Inc. PastSince Jan 12, 2020 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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1407495591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21345 W ALVARADO RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962522",
            "telephone_number": "623-225-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N 54TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542369",
            "telephone_number": "480-242-5903",
            "fax_number": "602-218-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "AZ",
            "license": "SLPA12216",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12216",
            "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 Dec 9, 2024; 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.