Active NPI
Tiffany O'Connor Triana, MS, CCC-SLP
- Speech-Language Pathologist
- Florence, AZ
National Provider Identifier
1922145135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 616790
- Practice address
- 1000 S Main St
Florence, AZ 85232 - Phone
- (520) 866-3500
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 9, 2007
- 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 | 616790 | AZ | Primary |
Addresses
Primary practice location
1000 S Main St
Florence, AZ 85232
Mailing address
4130 S Cordia CT
Gold Canyon, AZ 85218
Phone (602) 402-3025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616790 | Medicaid | AZ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616790 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Unified School District #1 | Past | Accepting new patients | |
| Florence Unified School District | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Florence, AZ
- NPI 1932707841
-
- Local Education Agency (LEA)
- Florence, AZ
- NPI 1700938503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1922145135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 S CORDIA CT",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "85218",
"telephone_number": "602-402-3025",
"fax_number": "480-982-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S MAIN ST",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "85232",
"telephone_number": "520-866-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR TRIANA",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "616790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "616790",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.