Ryan Wurzell, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP12524 Issued in AZ

Practice address

400 W Elm Ave
Flagstaff, AZ 86001-1562

Phone

(928) 773-8100

NPI assigned

Aug 13, 2020

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Flagstaff Unified School District

  • Student in an Organized Health Care Education/Training Program
  • Flagstaff, AZ
  • NPI 1275747206
  NPD (past)
• Flagstaff Unified School District #1

  • Local Education Agency (LEA)
  • Flagstaff, AZ
  • NPI 1407982226
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1780295642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 E SPARROW AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047794",
            "telephone_number": "928-527-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ELM AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011562",
            "telephone_number": "928-773-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 S Lone Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860016446",
            "country_code": "US",
            "telephone_number": "928-773-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WURZELL",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Lynn Woolston, M.A.
• Hannah Wotasik
• Gerard Michael Beccia Wrenn, MS, BCBA
• Sarah E. Wright, AU.D.
• Kristine Wullenweber
• Wyatt Woodard MSN FNP PC
• Wyatt Woodard MSN FNP PLLC
• Angela J Wyatt, M.D.
• David Michael Yamanaka
• David Kiwan Yang, DMD

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

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