ALLIEJANE BOAZ DESOTO
NPI 1063897122
Specialist/Technologist - Speech-Language Assistant in Cottonwood, AZ
About Alliejane Boaz Desoto NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLIEJANE BOAZ DESOTO (NPI 1063897122) is an individual speech-language assistant in Cottonwood, Arizona, licensed in Arizona (SLPA9498) and active in the NPI registry since July 2015. She is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alliejane Boaz Desoto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alliejane Desoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Golden Valley, AZ 86413
- Reassigned Medicare billing, Arizona enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COTTONWOOD, AZ 86326
COTTONWOOD, AZ 86326
COTTONWOOD, AZ 86326
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alliejane Desoto's NPI number?
The NPI number for Alliejane Desoto is 1063897122. It was assigned to this individual provider in the NPPES registry on July 29, 2015. The provider is also known as Alliejane Boaz.
Where is Alliejane Desoto located?
Alliejane Desoto practices at 101 S Airpark Rd Suite M, Cottonwood, AZ 86326. The listed phone number is (928) 639-2694.
What is Alliejane Desoto's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.
Is Alliejane Desoto enrolled in Medicare?
Yes. Alliejane Desoto is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alliejane Desoto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alliejane Desoto reassigns Medicare benefits to Dynamic Interventions Of Arizona, LLC (Golden Valley, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alliejane Desoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alliejane Desoto accept?
Health plans from Blue Cross Blue Shield of Arizona list Alliejane Desoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alliejane Desoto was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alliejane Boaz Desoto · NPI 1063897122
Speech-Language Assistant provider in Cottonwood, Arizona. Individual provider, active in the CMS NPPES registry since July 29, 2015.
## Identity
- **NPI:** 1063897122 (Entity type: Individual)
- **Enumerated:** July 29, 2015
- **Primary specialty:** Specialist/Technologist - Speech-Language Assistant · taxonomy 2355S0801X
- **State license:** SLPA9498 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 S AIRPARK RD, SUITE M, Cottonwood, AZ 86326-4182
- **Phone:** (928) 639-2694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Dynamic Interventions Of Arizona, LLC (NPI 1316191471, Golden Valley, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063897122) · Data from the CMS NPPES public registry.