Active NPI
Abbey L Fairbanks, SLP
- Speech-Language Pathologist
- Oro Valley, AZ
National Provider Identifier
1710001987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP12349
- Practice address
- 10390 N la Canada Dr Ste 110
Oro Valley, AZ 85737-7273 - Phone
- (520) 420-2110
- Fax
- (520) 420-2111
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 146.008949 | IL | |
| Speech-Language Pathologist | 235Z00000X | SLP12349 | AZ | Primary |
Addresses
Primary practice location
10390 N la Canada Dr Ste 110
Oro Valley, AZ 85737-7273
Mailing address
5301 E Grant Rd
Medical Staff
Tucson, AZ 85712-2805
Phone (520) 420-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.008949 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Medical Network | Current | Accepting new patients |
Locations
10390 N La Canada Dr
Ste 110
Tucson, AZ 85737
Phone (520) 420-2110
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1710001987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"address_2": "MEDICAL STAFF",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122805",
"telephone_number": "520-420-2110",
"fax_number": "520-420-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10390 N LA CANADA DR STE 110",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857377273",
"telephone_number": "520-420-2110",
"fax_number": "520-420-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRBANKS",
"first_name": "ABBEY",
"middle_name": "L",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.008949",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP12349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.