Individual provider Active NPI

Jamie Larkin, M.S.

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1982169181
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP11628 Issued in AZ
Practice address
2150 S Country Club Rd
Mesa, AZ 85210
Phone
(480) 398-4280
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP11628 AZ Primary
Speech-Language Assistant 2355S0801X SLPA11628 AZ

Addresses

Primary practice location

2150 S Country Club Rd
Mesa, AZ 85210

Mailing address

PO Box 50218
Phoenix, AZ 85076
Phone (480) 398-4280

Other practice location 1

3341 E Queen Creek Rd Ste 109
Gilbert, AZ 85297-8510
Phone (480) 279-6094

Other practice location 2

10631 S 51st St
Phoenix, AZ 85044
Phone (480) 398-4280

Other practice location 3

3011 S Lindsay Rd
Bldg 2/Suite 103
Gilbert, AZ 85295
Phone (480) 398-4280

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

LicenseStateTypeSpecialty
SLPA11628AZMDSpeech-Language Assistant
TSLP11628AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development LLC Speech-Language Pathologist PastSince Nov 1, 2017 Accepting new patients
Piller Child Development Past Accepting new patients
Cholla Medical Group, Inc PastSince Dec 15, 2006 Accepting new patients

Organizations & group practices 3

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1982169181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85076",
            "telephone_number": "480-398-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-398-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3341 E Queen Creek Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852978510",
            "country_code": "US",
            "telephone_number": "480-279-6094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10631 S 51st St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85044",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 S Lindsay Rd",
            "address_2": "Bldg 2/Suite 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85295",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "JAMIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP11628",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA11628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.