Active NPI
Victoria Dulles
- Speech-Language Assistant
- Tempe, AZ
National Provider Identifier
1568817237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9931
- Practice address
- 154 West 5TH Street
Unit 130
Tempe, AZ 85281 - Phone
- (520) 400-4637
- NPI assigned
- Apr 29, 2016
- 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 Assistant | 2355S0801X | SLPA9931 | AZ | Primary |
Addresses
Primary practice location
154 West 5TH Street
Unit 130
Tempe, AZ 85281
Mailing address
154 W 5TH St
Unit 130
Tempe, AZ 85281-8254
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 |
|---|---|---|---|
| SLPA9931 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466899200000",
"number": "1568817237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 W 5TH ST",
"address_2": "UNIT 130",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852818254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WEST 5TH STREET",
"address_2": "UNIT 130",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "520-400-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULLES",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2016-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9931",
"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 Jun 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.