Magie R Gonzales-Rivera, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13624 Issued in AZ

Practice address

6635 W Happy Valley Rd
Glendale, AZ 85310-2609

Phone

(623) 224-1214

Fax

(480) 771-5570

NPI assigned

Mar 27, 2022

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": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1841940335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-224-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-224-1214",
            "fax_number": "480-771-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-RIVERA",
        "first_name": "MAGIE",
        "middle_name": "R",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miquel Dean Gomez II, MD
• Salina Gomez, LAC
• Zyana Gomez
• Tealai Raechal Gonella
• Karen Patricia Gonsalves-Wetherell, MD
• Mike C Gonzales Jr., NMD
• Kasandra Gonzalez Roche
• Angelina Marissa Gonzalez-Truong, M.D.
• Alexandra Gonzalez, RN
• Ashley Gonzalez

• Speech-Language Assistant in Glendale, AZ
• Providers in Glendale, 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 Mar 27, 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.