NORTHERN ARIZONA UNIVERSITY (NPI# 1629581814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629581814 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA UNIVERSITY |
| Other Organization Name | AZ BOARD OF REGENTS ON BEHALF OF NORTHERN ARIZONA UNIVERSITY |
| Practice Address |
912 Riordan Rd Bldg 27 A Flagstaff AZ 86011-0001 |
| Mailing Address |
Po Box 5630 Flagstaff AZ 86011-5630 |
| Practice Telephone | 9285236773 |
| Practice Fax Number | 9285234953 |
| Mailing Telephone | 9285236773 |
| Mailing Fax Number | 9285234953 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | STACEY MAGEE (BILLING AND COLLECTIONS SPECIALIST) |
| Authorized Official Telephone | 9285237776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 725806 | 05 |
| Other Name | Type Code |
|---|---|
| AZ Board of Regents on Behalf of Northern Arizona University | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028314 | Northern Arizona University | Social Worker | Building 47 A South San Francisco St, Flagstaff, AZ 86011-0001 | 2018-10-08 |
| 1912950486 | Northern Arizona University | Audiologist-Hearing Aid Fitter | 208 E Pine Knoll Dr, Flagstaff, AZ 86011-0001 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN ARIZONA UNIVERSITY | 601 S Knoles Dr Room 220, Flagstaff, AZ 86011-7034 |
| Street Address |
912 RIORDAN RD BLDG 27 A |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86011-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558794 | Jeffrey B. Trudo | Specialist/Technologist | 492 East Mcconnell Drive, Flagstaff, AZ 86011 | 2017-06-26 |
| 1376911925 | Np Fromhome, LLC | Nurse Practitioner | 1016 W. University Ave, Suite 206, Flagstaff, AZ 86011 | 2015-09-11 |
| 1902274772 | Staci Mccauley | Specialist/Technologist | 912 Riordan Ranch Rd, Bldg 27a Rm 171, Flagstaff, AZ 86011 | 2015-09-09 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1447863881 | Nina Hoover | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive, Flagstaff, AZ 86011-0001 | 2020-08-25 |
| 1477028314 | Northern Arizona University | Social Worker | Building 47 A South San Francisco St, Flagstaff, AZ 86011-0001 | 2018-10-08 |
| 1003315110 | Tarang Kumar Jain | Physical Therapist | 208 Pine Knoll Dr Bldg 66, Flagstaff, AZ 86011-0001 | 2018-02-03 |
| 1659519270 | Kathleen Jodell Ganley | Physical Therapist | 208 Pine Knoll Dr Bldg 66 Rm 103, Flagstaff, AZ 86011-0001 | 2009-02-04 |
| 1235300153 | Emi Isaki | Speech-Language Pathologist | 208 W Pine Knoll Dr, Flagstaff, AZ 86011-0001 | 2008-03-19 |
| Find all providers in zip 86011 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914913 | Hannah Keziah Conrad | Speech-Language Pathologist | 802 W Murray Rd, Flagstaff, AZ 86001-1238 | 2020-08-28 |
| 1619433992 | Sindri Pilar Azpeitia | Speech-Language Pathologist | 2532 N 4th St # 481, Flagstaff, AZ 86004-3712 | 2019-02-12 |
| 1689110447 | Savannah P Ross | Speech-Language Pathologist | 3818 S Walapai Dr Apt 2, Flagstaff, AZ 86005-6672 | 2017-01-17 |
| 1902286784 | Beauty Way Speech Services | Speech-Language Pathologist | 4817 E Merriam Dr, Flagstaff, AZ 86004-2884 | 2015-06-05 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1154713469 | Lauren Hazel | Speech-Language Pathologist | 826 Kiowa, Flagstaff, AZ 86005-4079 | 2015-02-24 |
| 1962840280 | Mckenzie Lee-wilkin Whiting | Speech-Language Pathologist | 5601 White Horse Dr., Flagstaff, AZ 86004-1323 | 2013-06-08 |
| 1467701326 | Jacob Lalan | Speech-Language Pathologist | 1410 N Rim Dr, Flagstaff, AZ 86001-1456 | 2012-09-06 |
| 1972874188 | Abby Gorenstein | Speech-Language Pathologist | 706 W Grand Canyon Ave Apt 4, Flagstaff, AZ 86001-5445 | 2012-01-19 |
| 1215243944 | Kymmberly Lynn Nesheim | Speech-Language Pathologist | 3414 W Mountain Dr, Flagstaff, AZ 86001-1058 | 2010-08-18 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.