Kassaundra Rollins, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

644566 Issued in UT

Practice address

10251 N 35TH Ave
Phoenix, AZ 85051-1305

Phone

(602) 995-7366

NPI assigned

Aug 16, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1093260333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E HAZELWOOD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183776",
            "telephone_number": "385-290-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511305",
            "telephone_number": "602-995-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "KASSAUNDRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "644566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric William Rollender, PHAM.D
• Paula S Roller Bachmann, P.T.
• Brentin Lee Roller, D.O.
• Sarah Camille Rollinger, MED
• Caitlin Lilah Rollins Burt
• Katherine Chen Rollins, DO
• Kulinda Rollins
• Marcus Rollins, FNP-C
• Meghan Rollins, COTA/L
• Randall Sean Rollinson, LPC

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.