Active NPI
Shari Young, MS, CCC-SLP
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1497510986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP17038
- Practice address
- 4554 E Inverness Ave Ste C1
Mesa, AZ 85206-4639 - Phone
- (492) 548-0295
- Fax
- (480) 497-4756
- NPI assigned
- Feb 14, 2024
- Last updated
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP17038 | AZ | Primary |
Addresses
Primary practice location
4554 E Inverness Ave Ste C1
Mesa, AZ 85206-4639
Mailing address
820 S Roanoke St
Gilbert, AZ 85296-8866
Phone (480) 749-6475
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP15038 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1497510986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S ROANOKE ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852968866",
"telephone_number": "480-749-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4554 E INVERNESS AVE STE C1",
"city": "MESA",
"state": "AZ",
"postal_code": "852064639",
"telephone_number": "492-548-0295",
"fax_number": "480-497-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SHARI",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP17038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.