Individual provider Active NPI

Corinna Dawn Atchley, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Yuma, AZ
National Provider Identifier
1043418700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4051 Issued in AZ
Practice address
2470 S Arizona Ave
Yuma, AZ 85364-8520
Phone
(928) 344-8541
NPI assigned
Jul 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP4051 AZ Primary

Addresses

Primary practice location

2470 S Arizona Ave
Yuma, AZ 85364-8520

Mailing address

5796 E 27TH PL
Yuma, AZ 85365-1155
Phone (928) 344-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201002749 AZ Practitioner - Qualified Speech Language Pathologist 8022390095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Rehab LLCGroup PAC ID 0143478453, 25 clinicians
Valley Speech LLCGroup PAC ID 0143676650, 2 clinicians

Practice addresses (Care Compare)

13500 N Rancho Vistoso Blvd
Oro Valley, AZ 85755-5951
Phone (888) 381-8889

2851 S Ave B
Yuma, AZ 85364-7726
Phone (928) 318-6422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP4051AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Rehab, LLC Speech-Language Pathologist CurrentSince Aug 17, 2021 Accepting new patients
Valley Speech LLC Speech-Language Pathologist CurrentSince Oct 1, 2023 Accepting new patients

Locations

2620 N 68th St
Scottsdale, AZ 85257
Phone (480) 946-6571

2851 S Avenue B
#5
Yuma, AZ 85364
Phone (928) 318-6422

2851 S Avenue B
Lot 5
Yuma, AZ 85364
Phone (928) 318-6422

5314 N River Run Dr
Ste 140
Provo, UT 84604
Phone (801) 471-2449

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043418700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5796 E 27TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651155",
            "telephone_number": "928-344-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 S ARIZONA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648520",
            "telephone_number": "928-344-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHLEY",
        "first_name": "CORINNA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.