Active NPI
Kendall Corbitt Nikea Corbitt, M.S., CCC-SLP
- Speech-Language Pathologist
- Scottsboro, AL
National Provider Identifier
1669936837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14072922
- Practice address
- 305 W Peachtree St
Scottsboro, AL 35768-4360 - Phone
- (256) 609-6946
- NPI assigned
- Jan 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4152 | AL | |
| Speech-Language Pathologist | 235Z00000X | 14072922 | AL | Primary |
Addresses
Primary practice location
305 W Peachtree St
Scottsboro, AL 35768-4360
Mailing address
2041 County Road 213
Hollywood, AL 35752-6820
Phone (256) 259-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4152 | Other | AL | ALABAMA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY (ABESPA) |
| 14072922 | Other | AL | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA) |
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 |
|---|---|---|---|
| 14072922 | AL | MD | Speech-Language Pathologist |
| 4152 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1669936837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 COUNTY ROAD 213",
"city": "HOLLYWOOD",
"state": "AL",
"postal_code": "357526820",
"telephone_number": "256-259-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W PEACHTREE ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684360",
"telephone_number": "256-609-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBITT",
"first_name": "KENDALL CORBITT",
"middle_name": "NIKEA",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "4152",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "14072922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY (ABESPA)",
"identifier": "4152",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)",
"identifier": "14072922",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.