Active NPI
Ericka Kayln Igo
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1467727966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA7685
- Practice address
- 352 E Camelback Rd
Phoenix, AZ 85012-1646 - Phone
- (602) 212-9000
- NPI assigned
- Mar 15, 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 Assistant | 2355S0801X | SLPA7685 | AZ | Primary |
Addresses
Primary practice location
352 E Camelback Rd
Phoenix, AZ 85012-1646
Mailing address
8885 W Thunderbird Rd
Apt. 2031
Peoria, AZ 85381-3648
Phone (623) 910-8137
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA7685 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1467727966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 W THUNDERBIRD RD",
"address_2": "APT. 2031",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853813648",
"telephone_number": "623-910-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121646",
"telephone_number": "602-212-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGO",
"first_name": "ERICKA",
"middle_name": "KAYLN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7685",
"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 Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.