Active NPI
Grace Mary Flicker, MS/SLP/ECE
- Speech-Language Pathologist
- Prescott Valley, AZ
National Provider Identifier
1568653251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- #SLPL0571
- Practice address
- 8501 E Yavapai Rd
Yavapai Co. - Esa
Prescott Valley, AZ 86314-8622 - Phone
- (928) 771-3544
- Fax
- (928) 771-3549
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | #SLPL0571 | AZ | Primary |
Addresses
Primary practice location
8501 E Yavapai Rd
Yavapai Co. - Esa
Prescott Valley, AZ 86314-8622
Mailing address
PO Box 26326
Yavapai Co. - Esa
Prescott Valley, AZ 86312-6326
Phone (928) 771-3544
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #SLPL0571 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1568653251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26326",
"address_2": "YAVAPAI CO. - ESA",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863126326",
"telephone_number": "928-771-3544",
"fax_number": "928-771-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 E YAVAPAI RD",
"address_2": "YAVAPAI CO. - ESA",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863148622",
"telephone_number": "928-771-3544",
"fax_number": "928-771-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICKER",
"first_name": "GRACE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "MS/SLP/ECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "#SLPL0571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
- Donna Jean Finnegan, APRN,BC
- Nanci Margaret Fischer, RN, BSN
- Susan Elizabeth Fisher, HCP
- Kristine Fleming, OTR/L
- Matthew Fletcher
- Lilly Alejandra Flores-Fiumara, B.C.B.A.-D.
- Lisa Marie Flynn, RN
- Bibina Fonjong, PHARMACIST
- Foothills Sports Medicine & Rehabilitation - Prescott Valley, Inc
- Forefront Dermatology SC (Arizona Dermatology Group, a Forefront Dermatology Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.