Individual provider Active NPI

Christina Michelle Fernandez, M.S., SLP, CCC

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1700014420
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP5994 Issued in AZ
Practice address
32531 N Scottsdale Rd Ste 105-162
Scottsdale, AZ 85266-1519
Phone
(480) 488-3946
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP5994 AZ Primary

Addresses

Primary practice location

32531 N Scottsdale Rd Ste 105-162
Scottsdale, AZ 85266-1519

Mailing address

10350 W McDowell Rd Apt 2154
Avondale, AZ 85392-4820
Phone (602) 513-3933

Other names 1

  • Miss Christina Michelle Mimassi 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP5994AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Home Healthcare, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1700014420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 W MCDOWELL RD APT 2154",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924820",
            "telephone_number": "602-513-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32531 N SCOTTSDALE RD STE 105-162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661519",
            "telephone_number": "480-488-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., SLP, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MIMASSI",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "M.S., SLP, CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.