Active NPI
Korri Redpath-Carollo, M.A.,CCC-SLP
- Local Education Agency (LEA)
- Glendale, AZ
National Provider Identifier
1245353630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Practice address
- 4650 W. Sweetwater
Glendale, AZ 85302 - Phone
- (602) 347-2600
- NPI assigned
- Apr 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
4650 W. Sweetwater
Glendale, AZ 85302
Mailing address
4637 E Tumbleweed Dr
Cave Creek, AZ 85331-4049
Phone (480) 951-2913
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)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achievement Therapy Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245353630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 E TUMBLEWEED DR",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853314049",
"telephone_number": "480-951-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W. SWEETWATER",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85302",
"telephone_number": "602-347-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDPATH-CAROLLO",
"first_name": "KORRI",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.