Active NPI
Kara Picciolo, M.S., CCC-SLP
- Speech-Language Pathologist
- Fountain Hills, AZ
National Provider Identifier
1346096526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP15097
- Practice address
- 17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663 - Phone
- (480) 837-4565
- NPI assigned
- Apr 29, 2024
- 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 | SLP15097 | AZ | Primary |
Addresses
Primary practice location
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Mailing address
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Phone (480) 837-4565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP15097 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
20860 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 478-0520
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1346096526",
"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",
"telephone_number": "480-837-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 600",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686663",
"telephone_number": "480-837-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIOLO",
"first_name": "KARA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP15097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.