Individual provider Active NPI

Hailey Rupp

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1912681586
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP14461 Issued in AZ
Practice address
2225 W Southern Ave Ste a
Mesa, AZ 85202-4716
Phone
(480) 462-3880
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP14461 AZ Primary

Addresses

Primary practice location

2225 W Southern Ave Ste a
Mesa, AZ 85202-4716

Mailing address

4848 N Goldwater Blvd Unit 3008
Scottsdale, AZ 85251-1004
Phone (816) 804-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801002339 AZ Practitioner - Qualified Speech Language Pathologist 1759742190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP14461AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jun 18, 2023 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 462-3880

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033

1309 N Greenfield Rd
Ste 102
Mesa, AZ 85205
Phone (480) 210-1706

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

2225 W Southern Ave
Ste A
Mesa, AZ 85202
Phone (480) 462-3880

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 664-2270

1972 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 730-0501

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1912681586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 N GOLDWATER BLVD UNIT 3008",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511004",
            "telephone_number": "816-804-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W SOUTHERN AVE STE A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024716",
            "telephone_number": "480-462-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP14461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.

Verify at the official NPI Registry.