Individual provider Active NPI

Haley Tricia Lynn Didelotte, CCC-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1518526326
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP11803 Issued in AZ
Practice address
4309 E Florian Ave
Mesa, AZ 85206-2798
Phone
(602) 773-5773
NPI assigned
Jun 6, 2019
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP11803 AZ Primary

Addresses

Primary practice location

4309 E Florian Ave
Mesa, AZ 85206-2798

Mailing address

7948 N Hayden Rd # Ee203
Scottsdale, AZ 85258-3214
Phone (623) 414-0139

Other practice location 1

8638 E Vista Dr
Scottsdale, AZ 85250-7444
Phone (623) 414-0139

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
SLP11803AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Autism United, Inc. Speech-Language Pathologist CurrentSince Aug 27, 2023 Accepting new patients
Arizona Autism United, Inc. Speech-Language Assistant PastSince Aug 27, 2023 Accepting new patients

Locations

4309 E Florian Ave
Mesa, AZ 85206
Phone (480) 528-2746

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1518526326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 N HAYDEN RD # EE203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583214",
            "telephone_number": "623-414-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 E FLORIAN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062798",
            "telephone_number": "602-773-5773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8638 E Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852507444",
            "country_code": "US",
            "telephone_number": "623-414-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDELOTTE",
        "first_name": "HALEY",
        "middle_name": "TRICIA LYNN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP11803",
            "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 Apr 19, 2024; 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.