Tennille Dawn Loeffelholz

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13159 Issued in AZ

Practice address

15046 W Sells Dr
Goodyear, AZ 85395-7700

Phone

(602) 403-5274

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1831841337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15046 W SELLS DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957700",
            "telephone_number": "602-403-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15046 W SELLS DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957700",
            "telephone_number": "602-403-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFELHOLZ",
        "first_name": "TENNILLE",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Little
• Slade Little
• Living 365 LLC
• Hannah Lobato, RN
• Melissa Ann Lockett, NP
• Jill Renae Lomonaco, M.S SLP
• Mark Ralph Lonquist, MD
• Alma Lopez Aragon, LAC
• Anahi Lopez Hernandez
• Bianca Michelle Lopez, PA

• Speech-Language Assistant in Goodyear, AZ
• Providers in Goodyear, 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 25, 2022; 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.