Active NPI
Aubrey L. Stubler, MS CCC-SLP
- Speech-Language Pathologist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP8439
- Practice address
- 5130 N US Highway 89
Flagstaff, AZ 86004-2837 - Phone
- (928) 773-2054
- NPI assigned
- Aug 23, 2017
- 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 Pathologist | 235Z00000X | SLP8439 | AZ | Primary |
Addresses
Primary practice location
5130 N US Highway 89
Flagstaff, AZ 86004-2837
Mailing address
614 W Beal Road
Flagstaff, AZ 86001-3007
Phone (928) 779-1679
Other practice location 1
Northland-Rural Therapy Associates
2915 N. 4th Street
Flagstaff, AZ 86004
Phone (928) 779-1679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299761 | Medicaid | AZ |
Other names 1
- Aubrey Brennecke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP8439 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
5130 N US Highway 89
Flagstaff, AZ 86004
Phone (928) 773-2054
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
dba Northern Arizona Healthcare Children's Health Center
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1851818561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 W BEAL ROAD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013007",
"telephone_number": "928-779-1679",
"fax_number": "928-779-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 N US HIGHWAY 89",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860042837",
"telephone_number": "928-773-2054"
}
],
"practiceLocations": [
{
"address_1": "Northland-Rural Therapy Associates",
"address_2": "2915 N. 4th Street",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "86004",
"country_code": "US",
"telephone_number": "928-779-1679",
"fax_number": "928-779-2822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUBLER",
"first_name": "AUBREY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP8439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299761",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "BRENNECKE",
"credential": "MS CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.