Madison Adia Kosmatka

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA15010 Issued in AZ

Practice address

4708 East Cambridge Ave
Phoenix, AZ 85008

Phone

(602) 748-0554

Fax

(480) 383-6375

NPI assigned

Jan 30, 2024

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1780447128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E 8TH ST UNIT 1005",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 EAST CAMBRIDGE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "602-748-0554",
            "fax_number": "480-383-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMATKA",
        "first_name": "MADISON",
        "middle_name": "ADIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA15010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackary Kosisky, OD
• Danielle Koski
• Kyle L Koski, PA-C
• Sandra Koski
• Jennifer Louise Koslo, MS, RD, CSSD
• James J Koster, MD
• Kami Koster
• John H Kosters, M.D.
• Robert Joseph Kostial, D.D.S.
• Steli Pankova Kostov, FNP

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, 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 Jan 30, 2024; 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.