Active NPI
Anita Samone Nilson
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1881470243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 14717
- Practice address
- 9650 N 39TH Ave
Phoenix, AZ 85051-3324 - Phone
- (602) 347-2148
- Fax
- (602) 347-2120
- NPI assigned
- Sep 1, 2023
- 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 Assistant | 2355S0801X | 14717 | AZ | Primary |
Addresses
Primary practice location
9650 N 39TH Ave
Phoenix, AZ 85051-3324
Mailing address
9650 N 39TH Ave
Phoenix, AZ 85051-3324
Phone (602) 347-2148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14717 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1881470243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 N 39TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850513324",
"telephone_number": "602-347-2148",
"fax_number": "602-347-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 N 39TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850513324",
"telephone_number": "602-347-2148",
"fax_number": "602-347-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSON",
"first_name": "ANITA",
"middle_name": "SAMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "14717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.