Individual provider Active NPI

Darci McInnes, SLPA

  • Speech-Language Assistant
  • Willcox, AZ
National Provider Identifier
1629466529
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA8975 Issued in AZ
Practice address
480 N Bisbee Ave
Willcox, AZ 85643-1509
Phone
(520) 384-8608
NPI assigned
Dec 30, 2014
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA 8975 AZ
Speech-Language Assistant 2355S0801X SLPA8975 AZ Primary

Addresses

Primary practice location

480 N Bisbee Ave
Willcox, AZ 85643-1509

Mailing address

480 N Bisbee Ave
Willcox, AZ 85643-1509
Phone (520) 384-8608

Other names 1

  • Darci Wilkins Former name

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

LicenseStateTypeSpecialty
SLPA 8975AZMDSpeech-Language Assistant
SLPA8975AZMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1629466529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N BISBEE AVE",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431509",
            "telephone_number": "520-384-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N BISBEE AVE",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431509",
            "telephone_number": "520-384-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNES",
        "first_name": "DARCI",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA 8975",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCI",
            "last_name": "WILKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willcox, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.