Individual provider Active NPI

Bitaya Nadine Mulato Sr., BS SLP

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1861534414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPL5298 Issued in AZ
Practice address
6193 S Candice Anne Dr
Tucson, AZ 85746-3354
Phone
(520) 235-3194
NPI assigned
Feb 12, 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 SLPL5298 AZ Primary

Addresses

Primary practice location

6193 S Candice Anne Dr
Tucson, AZ 85746-3354

Mailing address

6193 S Candice Anne Dr
Tucson, AZ 85746-3354
Phone (520) 235-3194

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SLPL5298AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861534414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6193 S CANDICE ANNE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857463354",
            "telephone_number": "520-235-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6193 S CANDICE ANNE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857463354",
            "telephone_number": "520-235-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULATO",
        "first_name": "BITAYA",
        "middle_name": "NADINE",
        "name_suffix": "Sr.",
        "credential": "BS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, 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.