Sierra C Wiese, SLPA
Specialist/Technologist, Speech-Language Assistant in Gilbert, AZ. Individual provider (NPI-1).
NPI number1407464282
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1407464282
- Entity type
- Individual (NPI-1)
- Name
- Miss Sierra C Wiese
- Credential
- SLPA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2020
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | SLPA12546 | AZ | Yes |
Other names
- Sierra C Wiese (Professional Name)
Practice location
2450 E Guadalupe Rd # Suote109Gilbert, AZ 85234-5116
Phone 480-506-0016
Mailing address
6602 S Constellation WayGilbert, AZ 85298-5700
Phone 480-506-0016
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 188 Speech-Language Assistant providers in Gilbert · All 7,856 providers in Gilbert
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