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Dr. Kelly Nett Cordero , PhD, CCC SLP

Speech-Language Pathologist β€’ Phoenix, AZ

Active NPI 1609099779 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

124 W. Thomas Rd. Suite 320
Phoenix, AZ 85013

Call 6029331050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

124 W. Thomas Rd. Suite 320

Phoenix, AZ 85013

Telephone 6029331050
Fax 6029334320
Organization at the Same NPPES Address or Phone
Phoenix Children's Hospital, Inc. Facility NPI 1033453733

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Phoenix Children'S Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1998

Years since graduation

28 years (graduated 1998)

CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cordero has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Phoenix and Arizona

934 active clinicians are listed under Speech-Language Pathologist with a practice address in Phoenix, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0.4% of these 934 clinicians have the CMS telehealth indicator.

1.7% of these 934 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP9986

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
167928 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20160907001761

Enrollment State Jurisdiction

AZ

PECOS Control ID

0345536991

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Phoenix Children's Hospital

1919 E Thomas Rd, Phoenix, AZ 850167710

Phone: 6029330930

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Jared Gilliland , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1427586957

Doctor of Dental Surgery

NPI 1225089774

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Speech-Language Pathologist (license number reported to NPPES: AZ SLP9986)

πŸ“
Updated Business Mailing Address August 29, 2023

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029331813)

πŸ“
Updated Practice Location September 18, 2019

Registered at 124 W. THOMAS RD. SUITE 320, PHOENIX, AZ 85013 (Tel: 6024063560)

πŸ“
Updated Business Mailing Address September 18, 2019

Registered at 124 W. THOMAS RD. SUITE 320, PHOENIX, AZ 85013 (Tel: 6024063560)

πŸ‘€
Provider Name / Credentials Updated September 18, 2019

Recorded as KELLY CORDERO, PHD, CCC SLP

πŸ“
Updated Practice Location September 17, 2018

Registered at 124 W THOMAS RD STE 320, PHOENIX, AZ 85013 (Tel: 6024063560)

πŸ“
Updated Business Mailing Address September 17, 2018

Registered at 240 W THOMAS RD # 301, PHOENIX, AZ 850134407 (Tel: 6024066262)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128738550)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128736005)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KELLY CORDERO, MA CCC SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (license number reported to NPPES: MN 7699)

🟒
Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609099779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: June 21, 2024
Sole Proprietor: No

Other Speech-Language Pathologists in Phoenix

All Speech-Language Pathologists in Phoenix

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029331813

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.