ALICIA S FENNEMORE (NPI# 1255602439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255602439 |
| Entity Type | Individual |
| Full Name | ALICIA S FENNEMORE |
| Credential | SLP-A |
| Practice Address |
352 E. Camelback Rd. Suite 102 Phoenix AZ 85302 |
| Mailing Address |
Po Box 7220 Phoenix AZ 85011-7220 |
| Practice Telephone | 6022775006 |
| Practice Fax Number | 6022775047 |
| Mailing Telephone | 6022775006 |
| Mailing Fax Number | 6022775042 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7528 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
352 E. CAMELBACK RD. SUITE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| 1245498146 | Frank Saverino | Counselor | 6153 West Olive Ave, Suite 1, Glendale, AZ 85302 | 2008-05-28 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951743 | Marlen Eilyn Murillo | Specialist/Technologist | 9150 W Indian School Rd # 150, Phoenix, AZ 85037-2384 | 2020-07-31 |
| 1619585411 | Risa Fly | Specialist/Technologist | 3700 N 24th St Ste 130, Phoenix, AZ 85016-6535 | 2020-07-17 |
| 1750916755 | Jessika Beltran Salazar | Specialist/Technologist | 7120 W Pioneer St, Phoenix, AZ 85043-7289 | 2020-03-10 |
| 1700419439 | Brandy Danielle Levy | Specialist/Technologist | 18242 N 5th Pl, Phoenix, AZ 85022-1012 | 2020-02-21 |
| 1639700115 | Sadie Merrill | Specialist/Technologist | 15201 N Central Ave, Phoenix, AZ 85022-3641 | 2020-02-03 |
| 1093346983 | Theresa Joan Trollinger | Specialist/Technologist | 16220 N 7th St Apt 3030, Phoenix, AZ 85022-6662 | 2020-01-29 |
| 1801436720 | Jordan Leigh Sonneborn | Specialist/Technologist | 1616 N Central Ave Apt 2459, Phoenix, AZ 85004-1670 | 2020-01-08 |
| 1790320141 | Anah Navarro | Specialist/Technologist | 5208 S 40th Pl, Phoenix, AZ 85040-3909 | 2019-11-08 |
| 1700427614 | Rosa Dalila Paz | Specialist/Technologist | 6454 W Blue Sky Dr, Phoenix, AZ 85083-7554 | 2019-10-02 |
| 1063060739 | Alondra Mata Bustillos | Specialist/Technologist | 3408 W Altadena Ave, Phoenix, AZ 85029-3228 | 2019-08-27 |
| Find all providers in PHOENIX | ||||
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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.