Active NPI
Alicia Dawn Becker, SLPA
- Speech-Language Assistant
- Avondale, AZ
National Provider Identifier
1629355995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA7460
- Practice address
- 12375 W Turney Ave
Avondale, AZ 85392-4283 - Phone
- (602) 690-1643
- Fax
- (623) 535-0632
- NPI assigned
- Nov 14, 2011
- 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 Assistant | 2355S0801X | SLPA7460 | AZ | Primary |
Addresses
Primary practice location
12375 W Turney Ave
Avondale, AZ 85392-4283
Mailing address
12633 W Cherry Hills Dr
El Mirage, AZ 85335-6336
Phone (602) 505-9272
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 |
|---|---|---|---|
| SLPA7460 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodtree West | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Avondale, AZ
- NPI 1013213149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1629355995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12633 W CHERRY HILLS DR",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853356336",
"telephone_number": "602-505-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12375 W TURNEY AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924283",
"telephone_number": "602-690-1643",
"fax_number": "623-535-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "ALICIA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.