Victoria Anna Powers, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP11841 Issued in AZ

Practice address

1252 S Avondale Blvd
Avondale, AZ 85323-8900

Phone

(623) 478-5700

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• County of Maricopa Littleton School District 65

  • Local Education Agency (LEA)
  • Avondale, AZ
  • NPI 1801075916
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1861046823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37B GASTON ST",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471008",
            "telephone_number": "908-601-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 S AVONDALE BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238900",
            "telephone_number": "623-478-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Littleton Elementary School District #65",
            "address_2": "1600 S 107th Ave",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "85323",
            "country_code": "US",
            "telephone_number": "623-478-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "VICTORIA",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00971000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP11841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Samantha Portillo
• Stephanie Amaris Portillo, LCSW
• Elizabeth Powell
• Brynn Powers
• Desirae Powers
• Thomas James Prade, DDS
• Milinda Nina Preciado
• Preferred Body Solutions LLC
• Preferred Healthcare Services
• Premier Group Home

• Speech-Language Pathologist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.