Carolyn E Bledsoe, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4355 Issued in AZ

Practice address

9385 W Donald Dr
Peoria, AZ 85383-2988

Phone

(623) 523-1243

NPI assigned

Jan 18, 2008

Last updated

Apr 22, 2020By the provider in NPPES

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

Other names 1

• Carolyn Forbes Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  Medicare reassignment NPD
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249

  Speech-Language Pathologist

  Medicare reassignment NPD
• Cactus Pediatric Therapy, Inc.

  • Specialist
  • Phoenix, AZ
  • NPI 1982764783
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1184800203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E CHANDLER BLVD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484601",
            "telephone_number": "480-704-5954",
            "fax_number": "480-704-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832988",
            "telephone_number": "623-523-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 E Chandler Blvd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850484601",
            "country_code": "US",
            "telephone_number": "480-704-5954",
            "fax_number": "480-704-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "CAROLYN",
        "middle_name": "E",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "FORBES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Catherine Blackburn, SLPA
• Cyntha Ann Blair, CCC-SLP
• Eric John Blasing, PT ATC
• Deborah Joanne Blaylock, AUD
• Jordon Bleau, PT, DPT
• Sarah Blevins
• Adam Preston Block, DDS
• Brian A Bloom, R.PH.
• Laura Patricia Bly
• Samantha Mae Boartfield, PHARMD

• Speech-Language Pathologist in Peoria, AZ
• Providers in Peoria, 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 Apr 22, 2020; 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.