Kenderia Antonette Bice, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP8436 Issued in AZ

Practice address

3546 S Brice Cir
Mesa, AZ 85212-1923

Phone

(334) 322-6243

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kenderia Antonette Smith Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Theraplay4Kidz, LLC

  dba Arizona Autism

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1750727798

  Speech-Language Pathologist

  Medicare reassignment NPD
• United Cerebral Palsy Association of Central Arizona

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
  • NPI 1982673992

  Speech-Language Pathologist

  NPD (past)
• Soar Health, Inc.

  dba Soar Autism Center

  • Behavior Analyst
  • Denver, CO
  • NPI 1437751252

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1174956379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 S BRICE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121923",
            "telephone_number": "334-322-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 S BRICE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121923",
            "telephone_number": "334-322-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICE",
        "first_name": "KENDERIA",
        "middle_name": "ANTONETTE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDERIA",
            "last_name": "SMITH",
            "middle_name": "ANTONETTE",
            "prefix": "MRS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• BHSM Rehabilitation, LLC
• BHSM Rehabilitation, LLC (Banner Physical Therapy)
• Barjinder B Bhullar, MD
• Ariba Bhuvad
• Alicia Christina Bianco
• David Joseph Bickler, MD
• Eericca Michelle Bickley, D.O.
• Thomas Michael Bickley, D.O.
• Robert Charles Biesbroeck, MD
• Big Bus Labs LLC

• Speech-Language Pathologist in Mesa, AZ
• Providers in Mesa, 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 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.