Individual provider Active NPI

Pamela Joy Cooper, MA-CCC-SLP

  • Speech-Language Pathologist
  • Fountain Hills, AZ
National Provider Identifier
1750553822
Registry record updated Mar 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP5664 Issued in AZ
Practice address
16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440
Phone
(480) 294-3678
NPI assigned
Mar 29, 2008
Last updated
Mar 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP5664 AZ Primary

Addresses

Primary practice location

16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440

Mailing address

4880 N Sabino Canyon Rd
Apt 8234
Tucson, AZ 85750-7006
Phone (520) 269-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411001294 AZ Practitioner - Qualified Speech Language Pathologist 9133486632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wheels on the Bus, Inc. CurrentSince May 1, 2024 Accepting new patients
Student Therapies and Resource Services Speech-Language Pathologist Past Accepting new patients

Locations

11811 N Tatum Blvd
Ste 3031
Phoenix, AZ 85028
Phone (480) 589-2890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1750553822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 N SABINO CANYON RD",
            "address_2": "APT 8234",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857507006",
            "telephone_number": "520-269-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16428 E KINGSTREE BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685440",
            "telephone_number": "480-294-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAMELA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; 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.

Verify at the official NPI Registry.