Active NPI
Trish Deana Romano, SLPA
- Speech-Language Assistant
- Surprise, AZ
National Provider Identifier
1710548128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA11821
- Practice address
- 17927 N Parkview PL Apt 52045204
Surprise, AZ 85374-3441 - Phone
- (602) 692-8131
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA11821 | AZ | Primary |
Addresses
Primary practice location
17927 N Parkview PL Apt 52045204
Surprise, AZ 85374-3441
Mailing address
17927 N Parkview PL Apt 5204
Surprise, AZ 85374-2411
Phone (602) 692-8131
Other names 1
- Trish Deana Jackson
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA11821 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1710548128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17927 N PARKVIEW PL APT 5204",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742411",
"telephone_number": "602-692-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17927 N PARKVIEW PL APT 52045204",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743441",
"telephone_number": "602-692-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANO",
"first_name": "TRISH",
"middle_name": "DEANA",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA11821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISH",
"last_name": "JACKSON",
"middle_name": "DEANA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.