Active NPI
Ronda Diane Polesky, M.S.,CCC/SLP
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1831376466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0288
- Practice address
- 7255 E Broadway Rd
Mesa, AZ 85208-9201 - Phone
- (480) 981-8844
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP0288 | AZ | Primary |
Addresses
Primary practice location
7255 E Broadway Rd
Mesa, AZ 85208-9201
Mailing address
7239 S 41St LN
Phoenix, AZ 85041-3507
Phone (480) 330-4575
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0288 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent by Design LLC | Current | 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.
-
- Specialist
- Gilbert, AZ
- NPI 1700467370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1831376466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7239 S 41ST LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413507",
"telephone_number": "480-330-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 E BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852089201",
"telephone_number": "480-981-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLESKY",
"first_name": "RONDA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "M.S.,CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP0288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.