Individual provider Active NPI

Rebecca Lynn Gimbrone, BSED

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1972826006
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP6088 Issued in AZ
Practice address
12447 N 41 Ave
Phoenix, AZ 85029-2964
Phone
(480) 389-7398
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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 TSLP6088 AZ Primary

Addresses

Primary practice location

12447 N 41 Ave
Phoenix, AZ 85029-2964

Mailing address

12447 N 41St Ave
Phoenix, AZ 85029-2964
Phone (480) 389-7398

Other names 1

  • Mrs. Rebeca Lynn Embree Other name

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

State licenses

LicenseStateTypeSpecialty
TSLP6088AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1972826006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12447 N 41ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292964",
            "telephone_number": "480-389-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 N 41 AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292964",
            "telephone_number": "480-389-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBRONE",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECA",
            "last_name": "EMBREE",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "MS, SLP-CFY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 13, 2011; 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.