Active NPI
Louise A Koziol, CCC SLP
- Speech-Language Pathologist
- Tempe, AZ
National Provider Identifier
1942320098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1156
- Practice address
- 1930 E Southern Ave
Tempe, AZ 85282-7518 - Phone
- (480) 456-0719
- NPI assigned
- Mar 30, 2007
- Last updated
- Mar 29, 2019
- 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 | SLP1156 | AZ | Primary |
Addresses
Primary practice location
1930 E Southern Ave
Tempe, AZ 85282-7518
Mailing address
1930 E Southern Ave
Tempe, AZ 85282-7518
Phone (480) 456-0719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470980 | Medicaid | AZ |
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 |
|---|---|---|---|
| Heartland Therapy, Inc. | Current | Accepting new patients | |
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Arion Care Solutions, LLC | Past | Accepting new patients | |
| Pioneer Pet, LLC | Past | Accepting new patients | |
| Solace Pediatric Healthcare Therapy Services Az, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004
Organizations & group practices 5
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.
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- NPI 1265401996
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Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1942320098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827518",
"telephone_number": "480-456-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827518",
"telephone_number": "480-456-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIOL",
"first_name": "LOUISE",
"middle_name": "A",
"credential": "CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470980",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.