Individual provider Active NPI

Joann Ridge, M.S.-CCC-SLP

  • Speech-Language Pathologist
  • Chandler, AZ
National Provider Identifier
1558412197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP1038 Issued in AZ
Practice address
4692 W Oakland St
Chandler, AZ 85226-2924
Phone
(480) 695-4746
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP1038 AZ Primary

Addresses

Primary practice location

4692 W Oakland St
Chandler, AZ 85226-2924

Mailing address

4692 W Oakland St
Chandler, AZ 85226-2924
Phone (480) 695-4746

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
SLP1038AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge Zeller Therapy, LLC Speech-Language Pathologist CurrentSince Aug 1, 2017 Accepting new patients

Locations

3160 N Arizona Ave
Ste 105
Chandler, AZ 85225
Phone (480) 347-8938

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558412197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4692 W OAKLAND ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262924",
            "telephone_number": "480-695-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 W OAKLAND ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262924",
            "telephone_number": "480-695-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "JOANN",
        "credential": "M.S.-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.