Active NPI
Lois Anne Caballero, CCC-SLP
- Speech-Language Pathologist
- Maricopa, AZ
National Provider Identifier
1558575308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0590
- Practice address
- 45012 W Honeycutt Ave
Maricopa, AZ 85239-2842 - Phone
- (520) 466-5698
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP0590 | AZ | Primary |
Addresses
Primary practice location
45012 W Honeycutt Ave
Maricopa, AZ 85239-2842
Mailing address
45012 W Honeycutt Ave
Maricopa, AZ 85239-2842
Phone (520) 466-5698
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0590 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558575308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45012 W HONEYCUTT AVE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "852392842",
"telephone_number": "520-466-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45012 W HONEYCUTT AVE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "852392842",
"telephone_number": "520-466-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "LOIS",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP0590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, 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.