Individual provider Active NPI

Melody Boubion Chenoo

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1730994435
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
15963 Issued in AZ
Practice address
8222 S 48TH St Ste 236
Phoenix, AZ 85044-5369
Phone
(602) 412-7332
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 15963 AZ Primary

Addresses

Primary practice location

8222 S 48TH St Ste 236
Phoenix, AZ 85044-5369

Mailing address

1851 N 37TH PL
Phoenix, AZ 85008-3911
Phone (480) 559-1309

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

LicenseStateTypeSpecialty
15963AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1730994435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N 37TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083911",
            "telephone_number": "480-559-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST STE 236",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445369",
            "telephone_number": "602-412-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUBION CHENOO",
        "first_name": "MELODY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "15963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.