Individual provider Active NPI

Annalysse Taylor Bacon

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1700755444
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
15346 Issued in AZ
Practice address
2200 W Maya Way
Phoenix, AZ 85085-1737
Phone
(623) 445-8200
NPI assigned
Oct 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 15346 AZ Primary

Addresses

Primary practice location

2200 W Maya Way
Phoenix, AZ 85085-1737

Mailing address

32515 N 41St Way
Cave Creek, AZ 85331-5417
Phone (623) 445-5000

Other practice location 1

35959 N 7th Ave
Phoenix, AZ 85086-6306
Phone (623) 445-3500

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
15346AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1700755444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32515 N 41ST WAY",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315417",
            "telephone_number": "623-445-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W MAYA WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851737",
            "telephone_number": "623-445-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35959 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850866306",
            "country_code": "US",
            "telephone_number": "623-445-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "ANNALYSSE",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "15346",
            "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 Oct 31, 2025; 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.