Angela Lorraine Anderson

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SLPA11511 Issued in AZ

Practice address

5025 E Washington St
Phoenix, AZ 85034-7437

Phone

(602) 773-5773

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Rosales Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arizona Autism United, Inc.

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1760621379
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1750856571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S GILBERT RD APT 3098",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960454",
            "telephone_number": "480-433-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347437",
            "telephone_number": "602-773-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AZ",
            "license": "SLPA11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ROSALES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Anderson, DO
• Amanda Anderson, LAC
• Amanda Corine Anderson, FNP-C
• Amanda Lynn Anderson
• Amy Anderson
• Austin Anderson, DO
• Barbara Anderson, DPT
• Belinda Anderson, PMHNP-BC AND FNP-C
• Bobbie J Anderson, MSW
• Bradley B Anderson, MD

• Hearing and Speech Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hearing and Speech Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.