Abigail Mae Anderson – Speech-Language Pathologist

Key facts

NPI: 1518655307
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: TSLP13133 (AZ)
Practice address: 1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310
Phone: (480) 374-4341
NPI assigned: Apr 28, 2023
Sex: Female
Sole proprietor: No

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.

Mariposa Speech Services LLC Physical Therapy Clinic/Center · Tempe, AZ · NPI 1922531045

Medicare reassignment NPD AZ · SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AZ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241029000600	AZ	Practitioner - Qualified Speech Language Pathologist	3779016894	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
TSLP13133	AZ	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Mariposa Speech Services LLC	Speech-Language Pathologist	Current since Oct 1, 2024	Accepting new patients

Locations

1 W Elliot Rd
Ste 109
Tempe, AZ 85284
Phone (480) 374-4341

1 W Elliot Rd
Ste 101
Tempe, AZ 85284
Phone (480) 374-4341

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	TSLP13133	AZ	Yes

Addresses

Primary practice location

1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310

Mailing address

3262 W Monterey St
Chandler, AZ 85226-2331

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2023.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1518655307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 W MONTEREY ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W ELLIOT RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841310",
            "telephone_number": "480-374-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ABIGAIL",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP13133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

All providers in Tempe, AZ · Speech-Language Pathologist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.