Individual provider Active NPI

Katelyn Ayer, MA SLP CCC

  • Speech-Language Pathologist
  • Green Valley, AZ
National Provider Identifier
1457704173
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP01215 Issued in RI
Practice address
700 S la Posada Cir
Green Valley, AZ 85614
Phone
(520) 237-9748
Fax
(520) 648-8397
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP01215 RI Primary

Addresses

Primary practice location

700 S la Posada Cir
Green Valley, AZ 85614

Mailing address

700 S la Posada Cir
Green Valley, AZ 85614-5100
Phone (520) 237-9748

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804000488 AZ Practitioner - Qualified Speech Language Pathologist 3577857150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Posada at Park Centre IncGroup PAC ID 1153325410, 4 clinicians

Practice addresses (Care Compare)

700 S la Posada Cir
Green Valley, AZ 85614-5100
Phone (520) 648-8380

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP01215RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
La Posada at Park Centre Inc Current Accepting new patients
La Posada at Park Centre Inc CurrentSince Jul 25, 2016 Accepting new patients

Locations

780 S Park Centre Ave
Green Valley, AZ 85614
Phone (520) 625-2273

700 S La Posada Cir
Green Valley, AZ 85614
Phone (310) 750-4511

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1457704173",
    "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": "520-237-9748",
            "fax_number": "520-648-8397"
        },
        {
            "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": "85614",
            "telephone_number": "520-237-9748",
            "fax_number": "520-648-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYER",
        "first_name": "KATELYN",
        "credential": "MA SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01215",
            "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 Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.