Individual provider Active NPI

Jeremy Carr

  • Speech-Language Assistant
  • Tucson, AZ
National Provider Identifier
1861768087
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA7602 Issued in AZ
Practice address
2238 E. Ginter Road
Sunnyside Unified School District No. 12
Tucson, AZ 85706
Phone
(520) 545-2137
Fax
(520) 545-2120
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA7602 AZ Primary

Addresses

Primary practice location

2238 E. Ginter Road
Sunnyside Unified School District No. 12
Tucson, AZ 85706

Mailing address

2238 E. Ginter Road
Sunnyside Unified School District No. 12
Tucson, AZ 85706
Phone (520) 545-2137

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

LicenseStateTypeSpecialty
SLPA7602AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Up Pediatric Physical Therapy Past Accepting new patients
Sunnyside Unified School District No. 12 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.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1861768087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 E. GINTER ROAD",
            "address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 E. GINTER ROAD",
            "address_2": "SUNNYSIDE UNIFIED SCHOOL DISTRICT NO. 12",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85706",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7602",
            "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 Apr 2, 2012; 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.