Active NPI
Wendy Mueller
- Speech-Language Assistant
- Sierra Vista, AZ
National Provider Identifier
1588032049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9615
- Practice address
- 3305 E Fry Blvd
Sierra Vista, AZ 85635-2990 - Phone
- (520) 515-2700
- Fax
- (520) 515-2744
- NPI assigned
- Sep 14, 2015
- 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 | SLPA9615 | AZ | Primary |
Addresses
Primary practice location
3305 E Fry Blvd
Sierra Vista, AZ 85635-2990
Mailing address
6610 N 93Rd Ave
Glendale, AZ 85305-3170
Phone (800) 218-9280
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 |
|---|---|---|---|
| SLPA9615 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1588032049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 N 93RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853053170",
"telephone_number": "800-218-9280",
"fax_number": "866-656-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 E FRY BLVD",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352990",
"telephone_number": "520-515-2700",
"fax_number": "520-515-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.