Mikki Rakestrow

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP12028 Issued in AZ

Practice address

1331 E Redfield Rd
Tempe, AZ 85283-5733

Phone

(480) 541-4908

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1558978320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 S KYRENE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842197",
            "telephone_number": "480-541-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E REDFIELD RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835733",
            "telephone_number": "480-541-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 W Galveston St # 85226",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852262776",
            "country_code": "US",
            "telephone_number": "520-405-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 N Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852267208",
            "country_code": "US",
            "telephone_number": "520-405-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 S Kyrene Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852842197",
            "country_code": "US",
            "telephone_number": "520-405-9212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKESTROW",
        "first_name": "MIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP12028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anup Rai, M.D.
• William B Rainey, OD
• Kishan Raja, LMSW
• Rajiv Parikh MD PC
• Julie Ann Rake, PA-C
• Raley'S Arizona LLC
• Katie Beutler Ralon, PA-C
• Kenlynne Ralph, OT
• Melissa Kaye Rambo, DAC, L.AC.
• Jane Ramenofsky Ramenofsky Stewart, R.N M.S.N. C.C.M.

• Speech-Language Pathologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.