Active NPI
Cara Suzanne Wagen
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1902047962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP2159
- Practice address
- 16556 N. 104 St.
Scottsdale, AZ 85255 - Phone
- (480) 563-7858
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | SLP2159 | AZ | Primary |
Addresses
Primary practice location
16556 N. 104 St.
Scottsdale, AZ 85255
Mailing address
16556 N. 104 St.
Scottsdale, AZ 85255
Phone (480) 563-7858
Other practice location 1
9385 W Donald Dr
Peoria, AZ 85383-2988
Phone (602) 875-5616
Other names 1
- Cara Suzanne Solomon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Excel Care Communications | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Phoenix, AZ
- NPI 1194923250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1902047962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16556 N. 104 ST.",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85255",
"telephone_number": "480-563-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16556 N. 104 ST.",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85255",
"telephone_number": "480-563-7858"
}
],
"practiceLocations": [
{
"address_1": "9385 W Donald Dr",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853832988",
"country_code": "US",
"telephone_number": "602-875-5616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGEN",
"first_name": "CARA",
"middle_name": "SUZANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP2159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARA",
"last_name": "SOLOMON",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.