Mary Kevin Tsurusaki, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0724 Issued in AZ

Practice address

Red Rock Elementary School
33656 W Aguirre LN
Red Rock, AZ 85245

Phone

(520) 682-3331

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1508055070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N PANORAMA CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042853",
            "telephone_number": "520-229-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RED ROCK ELEMENTARY SCHOOL",
            "address_2": "33656 W AGUIRRE LN",
            "city": "RED ROCK",
            "state": "AZ",
            "postal_code": "85245",
            "telephone_number": "520-682-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSURUSAKI",
        "first_name": "MARY",
        "middle_name": "KEVIN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Bedoya
• Elisa Davila
• Red Rock Elementary School District #5
• Kayla Speicher
• Micaela Strevay, NP

• Speech-Language Pathologist in Red Rock, AZ
• Providers in Red Rock, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.