Active NPI
Marianna L Dileonardo
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1598242299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP11295
- Practice address
- 10401 N 63Rd Ave
Glendale, AZ 85302-1100 - Phone
- (623) 412-4775
- NPI assigned
- Jul 25, 2018
- Last updated
- Jul 25, 2018
- 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 | TSLP11295 | AZ | Primary |
Addresses
Primary practice location
10401 N 63Rd Ave
Glendale, AZ 85302-1100
Mailing address
21322 N 69TH Ave
Glendale, AZ 85308-8947
Phone (602) 502-7599
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 |
|---|---|---|---|
| TSLP11295 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1598242299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21322 N 69TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088947",
"telephone_number": "602-502-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 N 63RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021100",
"telephone_number": "623-412-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILEONARDO",
"first_name": "MARIANNA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP11295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Jonathan R. Dietrich, PHARMD
- Dignity Health (St. Josephs Hospital and Medical Center Emergency Dept-Glendale)
- Dignity Health (St. Joseph's Westgate Medical Center)
- Dignity Living Centers of North America Palo Verde
- Dignity Living Centers of North America Palo Verde LLC
- Robin Beatrice Dilley, PH.D
- Carissa Marie Dillinger, LAAC15454
- Lucas Wethington Dillon, RBT
- Olivia Claire Dimatteo, PT, DPT
- Mia Dimayuga
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.