Individual provider Active NPI

Emily Jordyn Zollinger, SLPA

  • Speech-Language Assistant
  • Mesa, AZ
National Provider Identifier
1699495911
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA14050 Issued in AZ
Practice address
2830 E Brown Rd
Mesa, AZ 85213-5430
Phone
(480) 404-3789
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 SLPA14050 AZ Primary

Addresses

Primary practice location

2830 E Brown Rd
Mesa, AZ 85213-5430

Mailing address

3535 N 1St Ave Apt N102
Tucson, AZ 85719-1701
Phone (480) 404-3789

Other names 1

  • Emily Jordyn Timmerman 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
SLPA14050AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1699495911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N 1ST AVE APT N102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191701",
            "telephone_number": "480-404-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135430",
            "telephone_number": "480-404-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLINGER",
        "first_name": "EMILY",
        "middle_name": "JORDYN",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "TIMMERMAN",
            "middle_name": "JORDYN",
            "credential": "SLPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.