Active NPI
Monica Gayle Creek, SLPA
- Speech-Language Assistant
- Flagstaff, AZ
National Provider Identifier
1851809669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA10817
- Practice address
- 2224 E Cedar Ave Ste 1
Flagstaff, AZ 86004-1957 - Phone
- (928) 779-1679
- Fax
- (928) 779-2822
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | SLPA10817 | AZ | Primary |
Addresses
Primary practice location
2224 E Cedar Ave Ste 1
Flagstaff, AZ 86004-1957
Mailing address
6585 N Snowflake Dr
Flagstaff, AZ 86004-2601
Phone (928) 600-5059
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA10817 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1851809669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6585 N SNOWFLAKE DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860042601",
"telephone_number": "928-600-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 E CEDAR AVE STE 1",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041957",
"telephone_number": "928-779-1679",
"fax_number": "928-779-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREEK",
"first_name": "MONICA",
"middle_name": "GAYLE",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA10817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.