NPIMap

Organization Active NPI

Speech Therapy Group of Tucson PLLC

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1891030318
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP 5096 Issued in AZ
Legal business name
SPEECH THERAPY GROUP OF TUCSON PLLC
Practice address
1830 E Broadway Blvd
Suite 124-143
Tucson, AZ 85719-5966
Phone
(520) 232-2021
Fax
(520) 232-2553
NPI assigned
Dec 10, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
John Kyle Meades, SLPNPI 1679748396
Title
President
Phone
(520) 232-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP 5096 AZ Primary

Addresses

Primary practice location

1830 E Broadway Blvd
Suite 124-143
Tucson, AZ 85719-5966

Mailing address

1830 E Broadway Blvd
Suite 124-143
Tucson, AZ 85719-5966
Phone (520) 232-2021

Other identifiers 1

IdentifierTypeStateIssuer
766943MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1830 E Broadway Blvd
Ste 124143
Tucson, AZ 85719

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1891030318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E BROADWAY BLVD",
            "address_2": "SUITE 124-143",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195966",
            "telephone_number": "520-232-2021",
            "fax_number": "520-232-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E BROADWAY BLVD",
            "address_2": "SUITE 124-143",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195966",
            "telephone_number": "520-232-2021",
            "fax_number": "520-232-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY GROUP OF TUCSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "MEADES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-232-2021",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP 5096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766943",
            "state": "AZ"
        }
    ],
    "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 Dec 26, 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.