MS. ILENE SECRIST (NPI# 1992838486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992838486 |
| Entity Type | Individual |
| Full Name | MS. ILENE SECRIST |
| Credential | SLP |
| Practice Address |
42901 N 45th Ave Phoenix AZ 85087-7002 |
| Mailing Address |
8195 Masters Ln Flagstaff AZ 86004-1212 |
| Practice Telephone | 6233765200 |
| Mailing Telephone | 9288534054 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP0966 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
42901 N 45TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85087-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841414810 | Linda Ann Simmons | Registered Nurse | 42901 N 45th Ave, Phoenix, AZ 85087-7002 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
| 1659703304 | Tesla Imaging and Medical | Radiology | 43817 Nth 50th Dr, Phoenix, AZ 85087 | 2013-08-05 |
| 1932383130 | Robert Michael Hurwitz | Pediatrics | 43220 N 24th Street, New River, AZ 85087 | 2007-12-24 |
| 1437201233 | Kelly Blakey | Social Worker | 42631 North 43rd Drive, Kelly's Adult Therapeutic Foster Home, New River, AZ 85087 | 2007-01-18 |
| 1336480243 | Anneli Kumpula | Nurse Practitioner | 42815 N 14th St, New River, AZ 85087-0900 | 2013-03-04 |
| 1477981553 | Michael Doukas | Contractor | 43817 N 50th Dr, Phoenix, AZ 85087-3092 | 2013-10-28 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1144579111 | Marjorie Grosch | Specialist/Technologist | 44528 N Sonoran Arroyo Ln, New River, AZ 85087-5819 | 2012-09-05 |
| 1801416243 | Bridget K Fueller | Doula | 4505 W Heyerdahl Dr, New River, AZ 85087-5905 | 2020-04-24 |
| 1194956128 | American Focus Care | Hospice Care, Community Based | 43920 N 44th Ln, Phoenix, AZ 85087-5929 | 2009-08-07 |
| Find all providers in zip 85087 | ||||
| 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 |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
| 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.