Individual provider Active NPI

Suzette Bernales, SLPA

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1518265404
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA7138 Issued in AZ
Practice address
2432 W Peoria Ave
Suite 1044
Phoenix, AZ 85029-4726
Phone
(480) 335-4873
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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 SLPA7138 AZ Primary

Addresses

Primary practice location

2432 W Peoria Ave
Suite 1044
Phoenix, AZ 85029-4726

Mailing address

44342 W Yucca LN
Maricopa, AZ 85138-4029
Phone (480) 335-4873

Other names 1

  • Suzette De Leon-Bernales Other name

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
SLPA7138AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1518265404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44342 W YUCCA LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384029",
            "telephone_number": "480-335-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE",
            "address_2": "SUITE 1044",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294726",
            "telephone_number": "480-335-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNALES",
        "first_name": "SUZETTE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "DE LEON-BERNALES",
            "credential": "SLPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.