Active NPI
Cynthia Y O'Donnell, MA, CCC-SLP
- Speech-Language Pathologist
- Rio Rico, AZ
National Provider Identifier
1972641587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1613
- Practice address
- 1374 W Frontage Rd
Rio Rico, AZ 85648-6238 - Phone
- (520) 281-8282
- NPI assigned
- Feb 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SLP1613 | AZ | Primary |
Addresses
Primary practice location
1374 W Frontage Rd
Rio Rico, AZ 85648-6238
Mailing address
413 Poston St
Rio Rico, AZ 85648-3210
Phone (520) 377-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596827 | 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1613 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972641587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 POSTON ST",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "856483210",
"telephone_number": "520-377-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1374 W FRONTAGE RD",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "856486238",
"telephone_number": "520-281-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "CYNTHIA",
"middle_name": "Y",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596827",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rico, 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.