Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jamie Lynn Petersen

Speech-Language Pathologist • Mesa, AZ

Active NPI 1407318819 Individual Practitioner Female Practitioner
Practice location in NPPES

1400 S Dobson Rd
Mesa, AZ 852024707

Call 4804127724 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1400 S Dobson Rd

Mesa, AZ 852024707

Telephone 4804127724
Organization at the Same NPPES Address or Phone
Progressive Medical Associates Pllc Facility NPI 1548218613

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jamie Petersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Mesa and Arizona

424 active clinicians are listed under Speech-Language Pathologist with a practice address in Mesa, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

0% of these 424 clinicians have the CMS telehealth indicator.

0.9% of these 424 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP10183

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20190731004119

Enrollment State Jurisdiction

AZ

PECOS Control ID

3173859956

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Anas Abu Assi , MBBS

Internal Medicine

NPI 1881212264

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Rami Abusaleh , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1356921977

Doctor of Medicine (M.D.)

Abraham Alfarra

Anesthesiology

NPI 1174268585
Haneen Alwawi , CRNA

Nurse Anesthetist, Certified Registered

NPI 1245877893

Certified Registered Nurse Anesthetist

Cassandra Andreyka

Physician Assistant

NPI 1942073903
Dr. Gauri Barlingay , MD

Internal Medicine - Infectious Disease

NPI 1366979700

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 03, 2019.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from April 2019 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1407318819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2019
Last Update: April 03, 2019
Sole Proprietor: No

Other Speech-Language Pathologists in Mesa

Healthcare providers in Mesa

Mailing Address

1400 S Dobson Rd

Mesa, AZ 852024707

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.