Individual provider Active NPI

Iliana Areli Gomez Brauer, SLP-A

  • Speech-Language Assistant
  • Tucson, AZ
National Provider Identifier
1891295044
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA11047 Issued in AZ
Practice address
3500 W Orange Grove Rd Apt 11204
Tucson, AZ 85741-2861
Phone
(520) 470-9481
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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 SLPA11047 AZ Primary

Addresses

Primary practice location

3500 W Orange Grove Rd Apt 11204
Tucson, AZ 85741-2861

Mailing address

976 Calle Montoya
Rio Rico, AZ 85648-7103
Phone (520) 470-9481

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
SLPA11047AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1891295044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 CALLE MONTOYA",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856487103",
            "telephone_number": "520-470-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W ORANGE GROVE RD APT 11204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412861",
            "telephone_number": "520-470-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ BRAUER",
        "first_name": "ILIANA",
        "middle_name": "ARELI",
        "name_prefix": "Miss",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA11047",
            "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 Feb 14, 2018; 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.