Active NPI
John Kyle Meades, CCC-SLP
- Speech-Language Pathologist
- Tucson, AZ
National Provider Identifier
1679748396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP5096
- Practice address
- 821 E 47TH St
Tucson, AZ 85713-5009 - Phone
- (520) 232-2021
- Fax
- (520) 232-2553
- NPI assigned
- Apr 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP5096 | AZ | Primary |
| Speech-Language Pathologist | 235Z00000X | 0596 | AZ |
Addresses
Primary practice location
821 E 47TH St
Tucson, AZ 85713-5009
Mailing address
1830 E Broadway Blvd
Suite 124-143
Tucson, AZ 85719-5966
Phone (520) 232-2021
Other practice location 1
5700 E Pima St Ste G
Tucson, AZ 85712-5638
Phone (520) 232-2021
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0596 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1679748396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E BROADWAY BLVD",
"address_2": "SUITE 124-143",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195966",
"telephone_number": "520-232-2021",
"fax_number": "520-232-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E 47TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857135009",
"telephone_number": "520-232-2021",
"fax_number": "520-232-2553"
}
],
"practiceLocations": [
{
"address_1": "5700 E Pima St Ste G",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857125638",
"country_code": "US",
"telephone_number": "520-232-2021",
"fax_number": "520-232-2553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADES",
"first_name": "JOHN",
"middle_name": "KYLE",
"name_prefix": "Mr.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-23",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP5096",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "0596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.