Active NPI
Karen Theresa Bryant, M.S. CCC-SLP
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1841336278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 0433
- Practice address
- 12121 N 124TH St
Scottsdale, AZ 85259-3473 - Phone
- (480) 484-7300
- Fax
- (480) 484-7301
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP 0433 | AZ | Primary |
Addresses
Primary practice location
12121 N 124TH St
Scottsdale, AZ 85259-3473
Mailing address
10787 N 103Rd Way
Scottsdale, AZ 85260-6315
Phone (480) 391-2729
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626905 | Medicaid | AZ | |
| SLP0433 | Other | AZ | AZ HEALTH DEPT LICENSE # |
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 |
|---|---|---|---|
| SLP 0433 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1841336278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10787 N 103RD WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606315",
"telephone_number": "480-391-2729",
"fax_number": "480-484-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 N 124TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593473",
"telephone_number": "480-484-7300",
"fax_number": "480-484-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "KAREN",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP 0433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626905",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ HEALTH DEPT LICENSE #",
"identifier": "SLP0433",
"state": "AZ"
}
],
"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 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.