Individual provider Active NPI

Katie L Kondos, M.S.

  • Speech-Language Pathologist
  • Litchfield Park, AZ
National Provider Identifier
1962781690
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7338 Issued in AZ
Practice address
272 E Sagebrush St
Litchfield Park, AZ 85340-4934
Phone
(623) 535-6197
NPI assigned
Aug 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP7338 AZ Primary

Addresses

Primary practice location

272 E Sagebrush St
Litchfield Park, AZ 85340-4934

Mailing address

2345 N 83Rd Dr
Phoenix, AZ 85037-3742
Phone (701) 721-0181

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP7338AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Corte Sierra Elementary School Past Accepting new patients
Litchfield School District #79 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.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1962781690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N 83RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373742",
            "telephone_number": "701-721-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934",
            "telephone_number": "623-535-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDOS",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.