Individual provider Active NPI

Abbey Rose Lagman

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1437826245
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP13233 Issued in AZ
Practice address
4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707
Phone
(480) 704-5954
NPI assigned
Aug 28, 2021
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X TSLP13233 AZ Primary

Addresses

Primary practice location

4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707

Mailing address

4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707

Other practice location 1

3124 E Roosevelt St Bldg B
Phoenix, AZ 85008-5088
Phone (480) 757-2253

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
TSLP13233AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Pediatric Therapy CurrentSince Jul 9, 2023 Accepting new patients

Locations

4350 E Ray Rd
Ste 101A
Phoenix, AZ 85044
Phone (480) 704-5954

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": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1437826245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444707",
            "telephone_number": "480-704-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 E Roosevelt St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850085088",
            "country_code": "US",
            "telephone_number": "480-757-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGMAN",
        "first_name": "ABBEY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP13233",
            "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 7, 2023; 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.