Active NPI
Madison Sean D'Haenens
- Speech-Language Pathologist
- Fountain Hills, AZ
National Provider Identifier
1891489696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663 - Phone
- (480) 837-4565
- NPI assigned
- Jun 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Mailing address
3911 E Bridgeport Pkwy
Gilbert, AZ 85295-3684
Other practice location 1
20033 N 19th Ave Ste 121
Phoenix, AZ 85027-4251
Phone (602) 875-5616
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1891489696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 E BRIDGEPORT PKWY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 600",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686663",
"telephone_number": "480-837-4565"
}
],
"practiceLocations": [
{
"address_1": "20033 N 19th Ave Ste 121",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850274251",
"country_code": "US",
"telephone_number": "602-875-5616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'HAENENS",
"first_name": "MADISON",
"middle_name": "SEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.