Individual provider Active NPI

Lenora Anderson, MS CCC SLP

  • Speech-Language Pathologist
  • Goodyear, AZ
National Provider Identifier
1841480167
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP5574 Issued in AZ
Practice address
16182 W. Piccadilly Road
Goodyear, AZ 85395-8082
Phone
(623) 203-5348
Fax
(623) 505-5350
NPI assigned
Aug 1, 2007
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP5574 AZ Primary

Addresses

Primary practice location

16182 W. Piccadilly Road
Goodyear, AZ 85395-8082

Mailing address

16182 W Piccadilly Rd
Goodyear, AZ 85395-8082
Phone (623) 203-5348

Other identifiers 1

IdentifierTypeStateIssuer
245616OtherAZAHCCCS PROVIDER NUMBER

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

LicenseStateTypeSpecialty
SLP5574AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sheridan Communication Group, L.L.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1841480167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16182 W PICCADILLY RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958082",
            "telephone_number": "623-203-5348",
            "fax_number": "623-505-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16182 W. PICCADILLY ROAD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958082",
            "telephone_number": "623-203-5348",
            "fax_number": "623-505-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LENORA",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER NUMBER",
            "identifier": "245616",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.