Individual provider Active NPI

Kristina Jean Marie Dicarlo

  • Speech-Language Assistant
  • Scottsdale, AZ
National Provider Identifier
1760928105
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
#SLPA10328 Issued in AZ
Practice address
6991 E Camelback Rd
Suite D-300
Scottsdale, AZ 85251-2432
Phone
(623) 349-1373
Fax
(480) 499-5854
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X #SLPA10328 AZ Primary

Addresses

Primary practice location

6991 E Camelback Rd
Suite D-300
Scottsdale, AZ 85251-2432

Mailing address

6991 E Camelback Rd
Suite D-300
Scottsdale, AZ 85251-2432

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

State licenses

LicenseStateTypeSpecialty
#SLPA10328AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1760928105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6991 E CAMELBACK RD",
            "address_2": "SUITE D-300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6991 E CAMELBACK RD",
            "address_2": "SUITE D-300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512432",
            "telephone_number": "623-349-1373",
            "fax_number": "480-499-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "KRISTINA",
        "middle_name": "JEAN MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "#SLPA10328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 9, 2017; 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.