Individual provider Active NPI

Abigail Mae Anderson

  • Speech-Language Pathologist
  • Tempe, AZ
National Provider Identifier
1518655307
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP13133 Issued in AZ
Practice address
1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310
Phone
(480) 374-4341
NPI assigned
Apr 28, 2023
Last updated
Jul 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 Pathologist 235Z00000X TSLP13133 AZ Primary

Addresses

Primary practice location

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

Mailing address

3262 W Monterey St
Chandler, AZ 85226-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029000600 AZ Practitioner - Qualified Speech Language Pathologist 3779016894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP13133AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Speech Services LLC Speech-Language Pathologist CurrentSince Oct 1, 2024 Accepting new patients

Locations

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

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

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, 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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.