Cindy K Carroll, MS. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12051791 Issued in WA

Practice address

3801 Kern Way
Yakima, WA 98902-6340

Phone

(509) 574-3228

Fax

(509) 574-3210

NPI assigned

May 29, 2013

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1467899567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S 68TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085601",
            "telephone_number": "509-388-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KERN WAY",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026340",
            "telephone_number": "509-574-3228",
            "fax_number": "509-574-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CINDY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "12051791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LL00003595",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA AFFILIATION STATUS AND CERTIFICATION 12051791",
            "identifier": "12051791",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcie Carrell, LMT
• Andrea Carriedo, RN
• Itzel Zelene Carrillo
• Nancy Emmalou Carrillo
• Ellie M Carrithers, M.A.
• Nolan James Carroll
• Jill Carson, PT, DPT
• Tamara Carswell
• Amber Carter Jones
• Adrianna Carter

• Speech-Language Pathologist in Yakima, WA
• Providers in Yakima, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.