Active NPI
Debbie Michele Merideth-Zantout, MT-BC, SLP-A
- Music Therapist
- Queen Creek, AZ
National Provider Identifier
1497086961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 06236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 06236 | AZ | MD | Music Therapist |
| SLPA9530 | AZ | MD | Speech-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.