Andrea Gilligan

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13471 Issued in AZ

Practice address

1201 W Courtney LN
Tempe, AZ 85284-5131

Phone

(480) 541-7000

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1760146500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 E GOLDENROD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489181",
            "telephone_number": "480-635-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W COURTNEY LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852845131",
            "telephone_number": "480-541-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4630 E Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487682",
            "country_code": "US",
            "telephone_number": "480-541-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gila Internal Medicine & Geriatric P C
• Ann Rae Gilan, M.S. SLP
• Sally Anne Gilbert, PT
• Mary Elizabeth Gill, LMSW
• Shelby Elise Gillaird, MED, BCBA, LBA
• Anny Gonzalez Gimbel, DPT
• Lisa Girten, RPH
• Megan Gittins, LPC
• Robert Joseph Glass, PH.D.
• Jeffrey Martin Glaus, D.C.

• Speech-Language Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.