Organization Active NPI

Saguaro Center for Speech & Language PLLC

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1710248042
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SAGUARO CENTER FOR SPEECH & LANGUAGE PLLC
Practice address
1011 N Craycroft Rd
Suite 301
Tucson, AZ 85711-7309
Phone
(520) 730-8428
Fax
(520) 300-8328
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Fabiane Hirsch Kruse, PH.D
Title
Owner
Phone
(520) 730-8428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1011 N Craycroft Rd
Suite 301
Tucson, AZ 85711-7309

Mailing address

1011 N Craycroft Rd
Suite 301
Tucson, AZ 85711-7309
Phone (520) 730-8428

Other identifiers 1

IdentifierTypeStateIssuer
713704MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1011 N Craycroft Rd
Ste 301
Tucson, AZ 85711
Phone (520) 730-8428

1011 N Craycroft Rd
Tucson, AZ 85711

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1710248042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CRAYCROFT RD",
            "address_2": "SUITE 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117309",
            "telephone_number": "520-730-8428",
            "fax_number": "520-300-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CRAYCROFT RD",
            "address_2": "SUITE 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117309",
            "telephone_number": "520-730-8428",
            "fax_number": "520-300-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO CENTER FOR SPEECH & LANGUAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "HIRSCH KRUSE",
        "authorized_official_first_name": "FABIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-730-8428",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713704",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.