Individual provider Active NPI

Kendall Nicole Harrington

  • Speech-Language Pathologist
  • Corpus Christi, TX
National Provider Identifier
1417507005
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115885 Issued in TX
Practice address
4444 Corona Dr Ste 139
Corpus Christi, TX 78411-4323
Phone
(361) 980-9652
NPI assigned
Sep 16, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 115885 TX Primary

Addresses

Primary practice location

4444 Corona Dr Ste 139
Corpus Christi, TX 78411-4323

Mailing address

4444 Corona Dr Ste 139
Corpus Christi, TX 78411-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616001008 NC Practitioner - Qualified Speech Language Pathologist 7012428212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115885TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Mar 7, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Mar 7, 2025 Accepting new patients

Locations

104 Towerview Ct
Cary, NC 27513
Phone (984) 477-0803

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

9325 Jw Clay Blvd
Ste 224
Charlotte, NC 28262
Phone (704) 755-4278

9392 Sullivan Vale Ln
Charlotte, NC 28215
Phone (980) 701-5757

7901 Strickland Rd
Ste 101
Raleigh, NC 27615
Phone (919) 341-4234

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1417507005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 139",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 139",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323",
            "telephone_number": "361-980-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "KENDALL",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.