Active NPI
Sonia Mishelle Nava
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1750714424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA8512
- Practice address
- 10640 N 28TH Dr
C-104
Phoenix, AZ 85029-4527 - Phone
- (602) 626-8851
- Fax
- (602) 865-8020
- NPI assigned
- Aug 16, 2013
- Last updated
- Aug 16, 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 | SLPA8512 | AZ | Primary |
Addresses
Primary practice location
10640 N 28TH Dr
C-104
Phoenix, AZ 85029-4527
Mailing address
79 S 221St LN
Buckeye, AZ 85326-5548
Phone (623) 695-1371
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 |
|---|---|---|---|
| SLPA8512 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1750714424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 S 221ST LN",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853265548",
"telephone_number": "623-695-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10640 N 28TH DR",
"address_2": "C-104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294527",
"telephone_number": "602-626-8851",
"fax_number": "602-865-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVA",
"first_name": "SONIA",
"middle_name": "MISHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA8512",
"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 Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.