Active NPI
Lia S Lavallee, SLP
- Speech-Language Pathologist
- Green Valley, AZ
National Provider Identifier
1447505912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP2089
- Practice address
- 700 S la Posada Cir
Green Valley, AZ 85614-5100 - Phone
- (520) 648-2200
- NPI assigned
- Jul 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP2089 | AZ | Primary |
Addresses
Primary practice location
700 S la Posada Cir
Green Valley, AZ 85614-5100
Mailing address
700 S la Posada Cir
Green Valley, AZ 85614-5100
Phone (520) 648-2200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP2089 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1447505912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S LA POSADA CIR",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145100",
"telephone_number": "520-648-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S LA POSADA CIR",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145100",
"telephone_number": "520-648-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLEE",
"first_name": "LIA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP2089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.