Individual provider Active NPI

Rebecca Lea Young

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1699305359
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA12221 Issued in AZ
Practice address
5220 W Indian School Rd
Phoenix, AZ 85031-2605
Phone
(623) 691-4000
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 SLPA12221 AZ Primary

Addresses

Primary practice location

5220 W Indian School Rd
Phoenix, AZ 85031-2605

Mailing address

14257 W Hope Dr
Surprise, AZ 85379-4342
Phone (602) 821-0678

Other practice location 1

7070 W Heatherbrae Dr
Phoenix, AZ 85033-2620
Phone (623) 691-5200

Other practice location 2

7960 W Osborn Rd
Phoenix, AZ 85033-3521
Phone (623) 691-4700

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
SLPA12221AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1699305359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14257 W HOPE DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794342",
            "telephone_number": "602-821-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312605",
            "telephone_number": "623-691-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7070 W Heatherbrae Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850332620",
            "country_code": "US",
            "telephone_number": "623-691-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7960 W Osborn Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850333521",
            "country_code": "US",
            "telephone_number": "623-691-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "REBECCA",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12221",
            "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 Jan 22, 2020; 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.