Active NPI
Augusta K Helms Tillery, SLP
- Speech-Language Pathologist
- Tempe, AZ
National Provider Identifier
1861555658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0869
- Practice address
- Arizona St Univ Dept Speech & Hearing Sci
975 S. Myrtle Ave., Coor Hall 2211
Tempe, AZ 85287-0102 - Phone
- (480) 965-2373
- NPI assigned
- Dec 19, 2006
- 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 | 0869 | AZ | Primary |
Addresses
Primary practice location
Arizona St Univ Dept Speech & Hearing Sci
975 S. Myrtle Ave., Coor Hall 2211
Tempe, AZ 85287-0102
Mailing address
Arizona St Univ Dept Speech & Hearing Sci
975 S. Myrtle Ave., Coor Hall 2211
Tempe, AZ 85287-0102
Phone (480) 965-2373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 S Myrtle Ave
Tempe, AZ 85287-0001
Phone (480) 965-2373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0869 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona State University | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1861555658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ARIZONA ST UNIV DEPT SPEECH & HEARING SCI",
"address_2": "975 S. MYRTLE AVE., COOR HALL 2211",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852870102",
"telephone_number": "480-965-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ARIZONA ST UNIV DEPT SPEECH & HEARING SCI",
"address_2": "975 S. MYRTLE AVE., COOR HALL 2211",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852870102",
"telephone_number": "480-965-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELMS TILLERY",
"first_name": "AUGUSTA",
"middle_name": "K",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "0869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.