Active NPI
Anita J. Jaime, M.S.
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1982727970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1486
- Practice address
- 3401 N 67TH Ave
Phoenix, AZ 85033-4517 - Phone
- (623) 691-5953
- Fax
- (623) 691-5960
- NPI assigned
- Apr 6, 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 | SLP1486 | AZ | Primary |
Addresses
Primary practice location
3401 N 67TH Ave
Phoenix, AZ 85033-4517
Mailing address
4007 S Filer Dr
Tempe, AZ 85282-6126
Phone (602) 276-6865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01042075 | Other | AZ | AMERICAN SPEECH-LANG ASSO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1486 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982727970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 S FILER DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826126",
"telephone_number": "602-276-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N 67TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850334517",
"telephone_number": "623-691-5953",
"fax_number": "623-691-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIME",
"first_name": "ANITA",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANG ASSO",
"identifier": "01042075",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 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.