Lisa Marie Baldinelli, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6053 Issued in AZ

Practice address

15034 North Parkview Place
Surprise, AZ 85379

Phone

(623) 876-7808

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Dysart Unified School District

  • Local Education Agency (LEA)
  • Surprise, AZ
  • NPI 1750595369
  NPD (past)
• Dysart Unified School District

  • Local Education Agency (LEA)
  • Surpirse, AZ
  • NPI 1770625758
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1669619284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 NORTH PARKVIEW PLACE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-876-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15034 NORTH PARKVIEW PLACE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-876-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDINELLI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE NUMBER",
            "identifier": "SLP6053",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Balaban, DMD
• Anais Maria Balaci, LAC
• Balanced Approach Family Wellness, PLC
• Josie Joy Balboa-Azura, FNP-C
• Araceli Monique Balderas
• Reginald Pius Q Baldonado, MD
• Barinedum Bale
• David Ballard, MA, LAC, NCC
• Brittany Pamela Ballesteros
• Heather Ann Balliet, M.A.

• Speech-Language Pathologist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.