Individual provider Active NPI

Reanna Webb

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1649823063
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA9555 Issued in AZ
Practice address
4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050-3389
Phone
(602) 485-4444
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA9555 AZ Primary

Addresses

Primary practice location

4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050-3389

Mailing address

4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050-3389

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
SLPA9555AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Therapy Services, Inc CurrentSince Jul 28, 2019 Accepting new patients
Sunrise Therapy Services, Inc Speech-Language Assistant CurrentSince Feb 18, 2024 Accepting new patients

Locations

4045 E Union Hills Dr
Ste 110
Phoenix, AZ 85050
Phone (602) 485-4444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1649823063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503389",
            "telephone_number": "602-485-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "REANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.