Active NPI
Becky Woolley
- Speech-Language Assistant
- Gilbert, AZ
National Provider Identifier
1912374588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9558
- Practice address
- 1950 E Lafayette Ave
Gilbert, AZ 85298-0821 - Phone
- (480) 274-3951
- NPI assigned
- Aug 30, 2015
- 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 | SLPA9558 | AZ | Primary |
Addresses
Primary practice location
1950 E Lafayette Ave
Gilbert, AZ 85298-0821
Mailing address
1811 S 39TH St Unit 80
Mesa, AZ 85206-3840
Phone (623) 227-6067
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 |
|---|---|---|---|
| SLPA9558 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Allen Douglas & Kimberli C Douglas Bounce Back Speech Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Gilbert, AZ
- NPI 1881894202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440892800000",
"number": "1912374588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 S 39TH ST UNIT 80",
"city": "MESA",
"state": "AZ",
"postal_code": "852063840",
"telephone_number": "623-227-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E LAFAYETTE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852980821",
"telephone_number": "480-274-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLLEY",
"first_name": "BECKY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-30",
"last_updated": "2015-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.