Active NPI
Saguaro Center for Speech & Language PLLC
- Speech-Language Pathologist
- Tucson, AZ
National Provider Identifier
1710248042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713704 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.