Active NPI
Miranda Church, SLPA
- Speech-Language Assistant
- Queen Creek, AZ
National Provider Identifier
1912574559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA13078
- Practice address
- 43507 N Ironwood Dr
Queen Creek, AZ 85140-9312 - Phone
- (480) 757-2253
- NPI assigned
- Jun 10, 2021
- 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 | SLPA13078 | AZ | Primary |
Addresses
Primary practice location
43507 N Ironwood Dr
Queen Creek, AZ 85140-9312
Mailing address
42371 W Oakland Dr
Maricopa, AZ 85138-2229
Phone (207) 343-1397
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 |
|---|---|---|---|
| SLPA13078 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1912574559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42371 W OAKLAND DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851382229",
"telephone_number": "207-343-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43507 N IRONWOOD DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851409312",
"telephone_number": "480-757-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "MIRANDA",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA13078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
- Jennifer Lynn Christensen, B.A.
- Lisa Marie Christensen, RN
- Wayne Christensen, D.C.
- Katherine Elaine Christopherson, MA, LPC
- Carrie Church, NP
- Cigna Healthcare of Arizona, Inc.
- Circles of Life Residential Care and Memory Care LLC
- Circles of Life Residential Care II, LLC
- Erin Cisewski, PA-C
- CK Senior Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.