Individual provider Active NPI

Lourdes Yvette Garino

  • Speech-Language Assistant
  • Mesa, AZ
National Provider Identifier
1497528152
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA14895 Issued in AZ
Practice address
108 W University Dr
Mesa, AZ 85201-5818
Phone
(480) 668-1917
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA14895 AZ Primary

Addresses

Primary practice location

108 W University Dr
Mesa, AZ 85201-5818

Mailing address

PO Box 78154
Tucson, AZ 85703-8154
Phone (520) 406-9816

Other practice location 1

238 W Alturas St
Tucson, AZ 85705-4403
Phone (520) 406-9816

Other practice location 2

3920 E 5th St
Tucson, AZ 85711-1917
Phone (520) 471-0283

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
SLPA14895AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Services, LLC Speech-Language Assistant PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497528152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78154",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857038154",
            "telephone_number": "520-406-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015818",
            "telephone_number": "480-668-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 W Alturas St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857054403",
            "country_code": "US",
            "telephone_number": "520-406-9816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111917",
            "country_code": "US",
            "telephone_number": "520-471-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARINO",
        "first_name": "LOURDES",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14895",
            "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 Nov 3, 2023; 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.