Active NPI
Summer Stout-Bloyer
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1740610534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA8608
- Practice address
- 20402 N 15TH Ave
Phoenix, AZ 85027-3636 - Phone
- (623) 445-4952
- Fax
- (623) 445-5083
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 | SLPA8608 | AZ | Primary |
Addresses
Primary practice location
20402 N 15TH Ave
Phoenix, AZ 85027-3636
Mailing address
20402 N 15TH Ave
Phoenix, AZ 85027-3636
Phone (623) 445-4952
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 |
|---|---|---|---|
| SLPA8608 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Heartland Therapy, Inc. | 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": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1740610534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20402 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273636",
"telephone_number": "623-445-4952",
"fax_number": "623-445-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20402 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273636",
"telephone_number": "623-445-4952",
"fax_number": "623-445-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT-BLOYER",
"first_name": "SUMMER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA8608",
"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 Nov 15, 2013; 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.