Corri Sandoval, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-581 Issued in WY

Practice address

503 S 18TH St
Laramie, WY 82070-4303

Phone

(307) 742-3728

NPI assigned

Jan 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of WyomingGroup PAC ID 4183607054, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Wyoming

  dba University of Wyoming Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Cheyenne, WY
  • NPI 1770681439
  Medicare reassignment Care Compare group NPD
• University of Wyoming Speech and Hearing Clinic

  • Audiologist
  • Laramie, WY
  • NPI 1184760993
  NPD
• University of Wyoming

  dba Albany Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Laramie, WY
  • NPI 1639617061
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1033656590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S 18TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704303",
            "telephone_number": "307-742-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 18TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704303",
            "telephone_number": "307-742-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CORRI",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Sambrooks
• Michael Sanchez
• Sarah Sanchez
• Philip Lerory Sanders III, FNP-C
• Tristan Thomas Sandoval-Johnson, MSW, PCSW
• Jenny J. Sandvig
• Amber G Sankey, MS LPC
• Illyanna Saucedo
• Brittany Sauer
• Cassidy A Sauter

• Speech-Language Pathologist in Laramie, WY
• Providers in Laramie, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.