Individual provider Active NPI

Nadine Elisabeth Finnefrock

  • Speech-Language Pathologist
  • Queen Creek, AZ
National Provider Identifier
1952500829
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
#SLPL5365 Issued in AZ
Practice address
40300 North Simoton Blvd.
Kathryn Sue Simonton Elementary School
Queen Creek, AZ 85241
Phone
(480) 987-5330
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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 #SLPL5365 AZ Primary

Addresses

Primary practice location

40300 North Simoton Blvd.
Kathryn Sue Simonton Elementary School
Queen Creek, AZ 85241

Mailing address

3800 W Chandler Blvd
Apt. 1094
Chandler, AZ 85226-3803
Phone (480) 274-2476

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
#SLPL5365AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Therapy Services Past Accepting new patients

Organizations & group practices 1

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1952500829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W CHANDLER BLVD",
            "address_2": "APT. 1094",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263803",
            "telephone_number": "480-274-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40300 NORTH SIMOTON BLVD.",
            "address_2": "KATHRYN SUE SIMONTON ELEMENTARY SCHOOL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85241",
            "telephone_number": "480-987-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEFROCK",
        "first_name": "NADINE",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "#SLPL5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.