Active NPI
Karissa Nesbitt, M.S., CCC-SLP
- Speech-Language Pathologist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP11330
- Practice address
- 5210 N Central Ave Ste 101
Phoenix, AZ 85012-1489 - Phone
- (623) 295-1109
- NPI assigned
- Jul 24, 2018
- 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 | SLP11330 | AZ | Primary |
Addresses
Primary practice location
5210 N Central Ave Ste 101
Phoenix, AZ 85012-1489
Mailing address
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP11330 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
| Indie Laine Learning Co LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5210 N Central Ave
Ste 101
Phoenix, AZ 85012
Phone (623) 295-1109
20860 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 478-0520
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
CA
-
- Developmental Disabilities Clinic/Center
- Phoenix, AZ
- NPI 1073297099
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1295212082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 600",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 N CENTRAL AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121489",
"telephone_number": "623-295-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESBITT",
"first_name": "KARISSA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP11330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.