Active NPI
Jill Haaser
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1720528425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- AZ5173
- Practice address
- 5122 E Shea Blvd
1130
Scottsdale, AZ 85254-4622 - Phone
- (314) 458-7289
- NPI assigned
- Feb 28, 2017
- 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 Pathologist | 235Z00000X | AZ5173 | AZ | Primary |
Addresses
Primary practice location
5122 E Shea Blvd
1130
Scottsdale, AZ 85254-4622
Mailing address
5122 E Shea Blvd
#1130
Scottsdale, AZ 85254-4622
Phone (314) 458-7289
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 |
|---|---|---|---|
| AZ5173 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Therapy, Inc. | Current | Accepting new patients | |
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004
Organizations & group practices 2
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.
-
- Home Health Agency
- Mesa, AZ
- NPI 1962552547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1720528425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 E SHEA BLVD",
"address_2": "#1130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544622",
"telephone_number": "314-458-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 E SHEA BLVD",
"address_2": "1130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544622",
"telephone_number": "314-458-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAASER",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "AZ5173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.