AZ BOARD OF REGENTS ON BEHALF OF NORTHERN ARIZONA UNIVERSITY
NPI 1629581814
Speech-Language Pathologist in Flagstaff, AZ

Active since November 09, 2017
912 RIORDAN RD BLDG 27 A, FLAGSTAFF, AZ 86011(928) 523-6773(928) 523-4953 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2023, Jun 16, 2018, Nov 9, 2017 (3 updates tracked since 2017).

About Az Board Of Regents On Behalf Of Northern Arizona University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZ BOARD OF REGENTS ON BEHALF OF NORTHERN ARIZONA UNIVERSITY (NPI 1629581814) is a healthcare organization registered as a speech-language pathologist in Flagstaff, Arizona and active in the NPI registry since November 2017. The organization lists Stacey Magee, Billing And Collections Specialist, as its authorized official.

NPPES Registry Identity

NPI1629581814
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameNORTHERN ARIZONA UNIVERSITY
Location Address912 RIORDAN RD BLDG 27 AFlagstaff, AZ 86011-0001
Mailing AddressPo Box 5630Flagstaff, AZ 86011-5630 · (928) 523-6773 · Fax (928) 523-4953
Fax(928) 523-4953
Organization SubpartNo
Authorized OfficialStacey MageeBilling And Collections Specialist · (928) 523-7776
Enumeration DateNovember 9, 2017
Last NPPES UpdateMay 18, 20233 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1629581814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
912 RIORDAN RD BLDG 27 A, Flagstaff, AZ 86011

Other Names 1

Doing Business AsAz Board Of Regents On Behalf Of Northern Arizona University

Other Identifiers 1

Medicaid725806AZ

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Az Board Of Regents On Behalf Of Northern Arizona University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Az Board Of Regents On Behalf Of Northern Arizona University, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Qualified Speech Language Pathologist11
Occupational Therapist in Private Practice4
General Practice1
Qualified Audiologist1

Clinicians, nearest first (17)

Qualified Speech Language Pathologist
NPI 1235780420
809 W RIORDAN RD STE 100-258
Flagstaff, AZ 86001
(928) 224-9370
✔ Accepts Medicare0.1 mi
Occupational Therapist in Private Practice
NPI 1235227034
912 RIORDAN RANCH ROAD
Flagstaff, AZ 86011
(928) 380-8519
0.2 mi
General Practice
NPI 1316915069
824 S SAN FRANSISCO ST BLDG 25 NAU CAMPUS
Flagstaff, AZ 86011
(928) 523-2131
✔ PECOS0.4 mi
Qualified Audiologist
NPI 1285845073
327 MCCONNELL CIR BLDG.66 RM 327
Flagstaff, AZ 86011
(928) 523-8110
✔ Accepts Medicare0.7 mi
Qualified Speech Language Pathologist
NPI 1952914913
802 W MURRAY RD
Flagstaff, AZ 86001
(574) 229-1889
2.1 mi
Occupational Therapist in Private Practice
NPI 1508414830
42211 N 41ST DR
Anthem, AZ 85086
(602) 808-9912
95 mi
Qualified Speech Language Pathologist
NPI 1215450473
7094 W ANDREA DR
Peoria, AZ 85383
(520) 780-9211
105 mi
Qualified Speech Language Pathologist
NPI 1174223259
1831 W ROSE GARDEN LN STE 4
Phoenix, AZ 85027
(600) 280-8991
107 mi
Qualified Speech Language Pathologist
NPI 1902274772
1322 E LE MARCHE AVE
Phoenix, AZ 85022
(602) 283-4121
110 mi
Qualified Speech Language Pathologist
NPI 1629118583
888 E CLINTON ST APT 1004
Phoenix, AZ 85020
(602) 595-8589
113 mi
Qualified Speech Language Pathologist
NPI 1346473311
10251 N 35TH AVE
Phoenix, AZ 85051
(602) 995-7366
114 mi
Occupational Therapist in Private Practice
NPI 1750701769
14911 N 177TH AVE
Surprise, AZ 85388
(701) 770-3798
117 mi
Qualified Speech Language Pathologist
NPI 1801217286
1905 E MINTON DR
Tempe, AZ 85282
(623) 203-0983
✔ Accepts Medicare125 mi
Qualified Speech Language Pathologist
NPI 1598284176
2600 N WYATT DR
Tucson, AZ 85712
(520) 324-5437
207 mi
Occupational Therapist in Private Practice
NPI 1881953214
10240 E VICKSBURG ST
Tucson, AZ 85748
(520) 891-5456
211 mi
Qualified Speech Language Pathologist
NPI 1225415813
503 RADO DR UNIT 4
Grand Junction, CO 81507
(603) 205-1232
315 mi
Qualified Speech Language Pathologist
NPI 1043733280
110 CARLTON ST. 593 ADERHOLD
Athens, GA 30602
(706) 542-4598
✔ Accepts Medicare1,610 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northern Arizona University's NPI number?

The NPI number for Northern Arizona University is 1629581814. It was assigned to this organization in the NPPES registry on November 9, 2017. The provider is doing business as Az Board Of Regents On Behalf Of Northern Arizona University.

Where is Northern Arizona University located?

Northern Arizona University is located at 912 Riordan Rd Bldg 27 A, Flagstaff, AZ 86011. The listed phone number is (928) 523-6773.

What is Northern Arizona University's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Northern Arizona University enrolled in Medicare?

Yes. Northern Arizona University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Arizona University?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Northern Arizona University. A 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 the clinician's services. The largest specialties are Qualified Speech Language Pathologist (11), Occupational Therapist in Private Practice (4) and General Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Arizona University was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.