Individual provider Active NPI

Kristen Carter

  • Speech-Language Assistant
  • Chandler, AZ
National Provider Identifier
1720455009
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLP9612 Issued in AZ
Practice address
3200 N Dobson Rd Ste F-2
Chandler, AZ 85224-9611
Phone
(480) 722-1300
NPI assigned
Aug 21, 2015
Last updated
Nov 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA9612 AZ
Speech-Language Assistant 2355S0801X SLP9612 AZ Primary

Addresses

Primary practice location

3200 N Dobson Rd Ste F-2
Chandler, AZ 85224-9611

Mailing address

17736 N 90TH Ave
Peoria, AZ 85382-4004

Other practice location 1

1405 N Dobson Rd
Unit 3
Chandler, AZ 85224-8594
Phone (480) 722-1300

Other identifiers 1

IdentifierTypeStateIssuer
053012MedicaidAZ

Other names 1

  • Kristen Cruickshank Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP9612AZMDSpeech-Language Assistant
SLPA9612AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arion Care Solutions, LLC PastSince Sep 1, 2019 Accepting new patients
Arion Care Solutions, LLC 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, 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": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1720455009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17736 N 90TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD STE F-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249611",
            "telephone_number": "480-722-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 N Dobson Rd",
            "address_2": "Unit 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852248594",
            "country_code": "US",
            "telephone_number": "480-722-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9612",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLP9612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053012",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CRUICKSHANK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.