Active NPI
Christie Taylor Larson, MS CF SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1942789813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP11388
- Practice address
- 16815 S Desert Foothills Pkwy
Phoenix, AZ 85048-8401 - Phone
- (480) 704-5954
- NPI assigned
- Aug 10, 2018
- 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 | TSLP11388 | AZ | Primary |
Addresses
Primary practice location
16815 S Desert Foothills Pkwy
Phoenix, AZ 85048-8401
Mailing address
1651 E Verlea Dr
Tempe, AZ 85282-2639
Phone (408) 768-3854
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 |
|---|---|---|---|
| TSLP11388 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1942789813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 E VERLEA DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822639",
"telephone_number": "408-768-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 S DESERT FOOTHILLS PKWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488401",
"telephone_number": "480-704-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CHRISTIE",
"middle_name": "TAYLOR",
"credential": "MS CF SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP11388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.