Dawn Birtwell, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4292 Issued in AZ

Practice address

165 E Via Mercado
Huachuca City, AZ 85616

Phone

(520) 266-0991

Fax

(815) 301-8374

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1942332952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E VIA MERCADO",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856169771",
            "telephone_number": "800-850-0991",
            "fax_number": "815-301-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E VIA MERCADO",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "85616",
            "telephone_number": "520-266-0991",
            "fax_number": "815-301-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRTWELL",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4292",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "868169",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533037",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Community First
• Arizona Community First
• Elizabeth Naomi Celestine
• Tara K Chavez, RN
• Cassondra Elizabeth Davis, MC
• Randy Daniel Flores
• Richard Wallace Harig, PH.D.

• Speech-Language Pathologist in Huachuca City, AZ
• Providers in Huachuca City, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.