Active NPI
Yivette Scroggins
- Speech-Language Pathologist
- Kingman, AZ
National Provider Identifier
1780113977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP10514
- Practice address
- 3033 McDonald Ave
Kingman, AZ 86401-4235 - Phone
- (928) 753-5678
- NPI assigned
- Jun 9, 2017
- 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 Pathologist | 235Z00000X | SLP10514 | AZ | Primary |
Addresses
Primary practice location
3033 McDonald Ave
Kingman, AZ 86401-4235
Mailing address
976 Shadow Crest Way
Kingman, AZ 86409-6925
Phone (928) 910-3897
Other names 1
- Miss Yivette Wilson
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 |
|---|---|---|---|
| SLP10514 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A to Z Therapies | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1780113977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "976 SHADOW CREST WAY",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864096925",
"telephone_number": "928-910-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 MCDONALD AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014235",
"telephone_number": "928-753-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCROGGINS",
"first_name": "YIVETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP10514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YIVETTE",
"last_name": "WILSON",
"prefix": "MISS",
"credential": "SLPA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.