Active NPI
Valerie Jean Jones
- Speech-Language Pathologist
- Flagstaff, AZ
National Provider Identifier
1417036732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12116119
- 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.
-
- Home Health Agency
- Flagstaff, AZ
- NPI 1851477228
AZ
-
- Speech-Language Pathologist
- Flagstaff, AZ
- NPI 1902286784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12116119 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Speech-Language Service Providers, PLLC | Current | Accepting new patients | |
| Beauty Way Speech Services | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12116119 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888349 | Other | AZ | AHCCCS# |
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.