Blythe Renee Lafaver

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP13928 Issued in AZ

Practice address

3160 N Arizona Ave Ste 105
Chandler, AZ 85225-7122

Phone

(480) 365-9981

NPI assigned

Jul 7, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1407589278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52519 INFIRMARY RD",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635563058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 N ARIZONA AVE STE 105",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257122",
            "telephone_number": "480-365-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAVER",
        "first_name": "BLYTHE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP13928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Evans Lace, MPT
• William Lace
• Christy Lacey, PA-C
• Marlene Annette Lacy, OTR-L
• Rebecca Lafarga, NDTR
• Lago Management Inc (Ellie Mental Health)
• Christine C. Lagrow, PA-C
• Jordan Lahaye
• Kari Shane Lahoe, PMHNP
• Johnston Lajom, OT

• Speech-Language Pathologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.