Active NPI
Karen Kelly Mollison, MS CCC SLP
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1518015189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0584
- Practice address
- 5040 E Shea Blvd Ste 168
Scottsdale, AZ 85254-4686 - Phone
- (480) 483-1025
- Fax
- (480) 483-1026
- NPI assigned
- Jan 8, 2007
- 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 | 0584 | AZ | Primary |
Addresses
Primary practice location
5040 E Shea Blvd Ste 168
Scottsdale, AZ 85254-4686
Mailing address
4602 E Sunset Dr
Phoenix, AZ 85028-6115
Phone (602) 527-4829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801474 | Medicaid | AZ |
Other names 1
- Kelly Via Mollison
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0584 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidzspot Pediatric Therapy-East Valley | Speech-Language Pathologist | Past | Accepting new patients |
| Kelly Mollison | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Phoenix, AZ
- NPI 1568795714
-
- Pediatric Occupational Therapist
- Mesa, AZ
- NPI 1588720825
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518015189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 E SUNSET DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286115",
"telephone_number": "602-527-4829",
"fax_number": "480-483-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 E SHEA BLVD STE 168",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544686",
"telephone_number": "480-483-1025",
"fax_number": "480-483-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLISON",
"first_name": "KAREN",
"middle_name": "KELLY",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "0584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "801474",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "MOLLISON",
"middle_name": "VIA",
"credential": "MS CCC SLP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.