Individual provider Active NPI

Mark Higginson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1982150488
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP10556 Issued in AZ
Practice address
2220 N Camino Principal Ste D
Tucson, AZ 85715
Phone
(505) 399-1067
Fax
(520) 300-8092
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP10556 AZ
Speech-Language Pathologist 235Z00000X 1530 ND
Speech-Language Pathologist 235Z00000X SLP10556 AZ Primary

Addresses

Primary practice location

2220 N Camino Principal Ste D
Tucson, AZ 85715

Mailing address

2220 N Camino Principal Ste D
Tucson, AZ 85715-5305
Phone (520) 261-3306

Other practice location 1

2201 N Camino Principal Ste 181
Tucson, AZ 85715-5332
Phone (520) 261-3306

Other practice location 2

639 11th St E
Dickinson, ND 58601-4111
Phone (505) 399-1067

Other practice location 3

2220 N Camino Principal Ste D
Tucson, AZ 85715
Phone (505) 399-1067

Other identifiers 1

IdentifierTypeStateIssuer
03535MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817001589 AZ Practitioner - Qualified Speech Language Pathologist 9335419639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6616 E Carondelet Dr
Suite 100
Tucson, AZ 85710-2195
Phone (520) 261-3306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP10556AZMDSpeech-Language Pathologist
TSLP10556AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Solutions Arizona PLLC CurrentSince Jun 3, 2017 Accepting new patients

Locations

6616 E Carondelet Dr
Ste 100
Tucson, AZ 85710
Phone (520) 261-3306

2201 N Camino Principal
Ste 181
Tucson, AZ 85715
Phone (505) 399-1067

2220 N Camino Principal
Ste D
Tucson, AZ 85715
Phone (520) 261-3306

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1982150488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N CAMINO PRINCIPAL STE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155305",
            "telephone_number": "520-261-3306",
            "fax_number": "520-300-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N CAMINO PRINCIPAL STE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "505-399-1067",
            "fax_number": "520-300-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Camino Principal Ste 181",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857155332",
            "country_code": "US",
            "telephone_number": "520-261-3306",
            "fax_number": "520-300-8092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 11th St E",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586014111",
            "country_code": "US",
            "telephone_number": "505-399-1067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 N Camino Principal Ste D",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85715",
            "country_code": "US",
            "telephone_number": "505-399-1067",
            "fax_number": "520-300-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINSON",
        "first_name": "MARK",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP10556",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1530",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03535",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.