Individual provider Active NPI

Valerie Jean Jones

  • Speech-Language Pathologist
  • Flagstaff, AZ
National Provider Identifier
1417036732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12116119 Issued in AZ
Practice address
3036 N Boldt Dr
Flagstaff, AZ 86001-0960
Phone
(928) 773-0895
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721000596 AZ Practitioner - Qualified Speech Language Pathologist 1153858998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12116119AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Speech-Language Service Providers, PLLC CurrentSince May 8, 2025 Accepting new patients
Beauty Way Speech Services Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12116119 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

3036 N Boldt Dr
Flagstaff, AZ 86001-0960

Mailing address

4817 E Merriam Dr
Flagstaff, AZ 86004-2884
Phone (928) 380-7511

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
888349OtherAZAHCCCS#

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417036732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 E MERRIAM DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042884",
            "telephone_number": "928-380-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 N BOLDT DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010960",
            "telephone_number": "928-773-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "VALERIE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "12116119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS#",
            "identifier": "888349",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.