Individual provider Active NPI

Debbie Michele Merideth-Zantout, MT-BC, SLP-A

  • Music Therapist
  • Queen Creek, AZ
National Provider Identifier
1497086961
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
06236 Issued in AZ
Practice address
22719 S Ellsworth Rd
Building C, Suite 103
Queen Creek, AZ 85142-6128
Phone
(480) 612-0395
Fax
(480) 659-9044
NPI assigned
Jan 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 06236 AZ Primary
Speech-Language Assistant 2355S0801X SLPA9530 AZ

Addresses

Primary practice location

22719 S Ellsworth Rd
Building C, Suite 103
Queen Creek, AZ 85142-6128

Mailing address

1313 S Tacoma
Mesa, AZ 85209-3749
Phone (480) 650-9959

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
06236AZMDMusic Therapist
SLPA9530AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1497086961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S TACOMA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093749",
            "telephone_number": "480-650-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22719 S ELLSWORTH RD",
            "address_2": "BUILDING C, SUITE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426128",
            "telephone_number": "480-612-0395",
            "fax_number": "480-659-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDETH-ZANTOUT",
        "first_name": "DEBBIE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "MT-BC, SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-24",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "AZ",
            "license": "06236",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.