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Active NPI 1316599277 Individual Practitioner Female Practitioner

Codye Anne Boutin

Specialist/Technologist - Speech-Language Assistant • Glendale, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Codye Boutin is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Glendale, AZ. Official NPI practice address is registered at 5117 W PERSHING AVE.

Practice Location & Contact Primary Location

Practice Address

5117 W Pershing Ave

Glendale, AZ 853041318

Telephone 6236282776

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Glendale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
144 Specialists

Practicing in Glendale, AZ (2360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License AZ SLPA11917

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2019

Registered at 5117 W PERSHING AVE, GLENDALE, AZ 853041318 (Tel: 6236282776)

📍
Updated Business Mailing Address July 11, 2019

Registered at 5117 W PERSHING AVE, GLENDALE, AZ 853041318 (Tel: 6236282776)

👤
Provider Name / Credentials Updated July 11, 2019

Recorded as CODYE BOUTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Specialist/Technologist (License #SLPA11917 in AZ)

🟢
Initial NPI Registration & Enumeration July 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316599277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2019
Last Update: July 11, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

5117 W Pershing Ave

Glendale, AZ 853041318

Phone: 6236282776

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.