Active NPI
Kari Ellefson
- Speech-Language Pathologist
- Surprise, AZ
National Provider Identifier
1104293554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP9544
- Practice address
- 15802 N Parkview PL
Surprise, AZ 85374-7466 - Phone
- (623) 876-7923
- NPI assigned
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP9544 | AZ | Primary |
Addresses
Primary practice location
15802 N Parkview PL
Surprise, AZ 85374-7466
Mailing address
15802 N Parkview PL
Surprise, AZ 85374-7466
Phone (623) 876-7923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TSLP9544 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP9544 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dysart Unified School District | Past | Accepting new patients | |
| Dysart Unified School District | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Surprise, AZ
- NPI 1750595369
-
- Local Education Agency (LEA)
- Surpirse, AZ
- NPI 1770625758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1104293554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15802 N PARKVIEW PL",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747466",
"telephone_number": "623-876-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15802 N PARKVIEW PL",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747466",
"telephone_number": "623-876-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEFSON",
"first_name": "KARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP9544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TSLP9544",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.