Individual provider Active NPI

Connie O. Greeff

  • Speech-Language Pathologist
  • Apache Junction, AZ
National Provider Identifier
1851446512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4707 Issued in AZ
Practice address
550 S Ironwood Dr
Apache Junction, AZ 85220-5002
Phone
(480) 982-1110
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP4707 AZ Primary

Addresses

Primary practice location

550 S Ironwood Dr
Apache Junction, AZ 85220-5002

Mailing address

441 S Maple Unit 134
Mesa, AZ 85206-5720
Phone (480) 982-1110

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP4707AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Superstition Mountain Elementary School Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851446512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S MAPLE UNIT 134",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065720",
            "telephone_number": "480-982-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S IRONWOOD DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852205002",
            "telephone_number": "480-982-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEFF",
        "first_name": "CONNIE",
        "middle_name": "O.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.