Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053853416 Individual Practitioner Female Practitioner

Alisyn Rae Kandybowicz , CCC-SLP

Speech-Language Pathologist • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Alisyn Kandybowicz, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Flagstaff, AZ. Practice services are available at 6525 JOHNSON RANCH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6525 Johnson Ranch Rd

Flagstaff, AZ 860048327

Telephone 6022845406
Fax 6022976516
Associated Practice Facility / Clinic
🏢 Nature Talks Llc Facility NPI 1417724956

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
133 Specialists

Practicing in Flagstaff, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ 10260

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
104201 (AZ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 22, 2026

Registered at 6525 JOHNSON RANCH RD, FLAGSTAFF, AZ 860048327 (Tel: 6022845406)

📍
Updated Business Mailing Address January 22, 2026

Registered at 6525 JOHNSON RANCH RD, FLAGSTAFF, AZ 860048327 (Tel: 6022845406)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2026

Speech-Language Pathologist (License #10260 in AZ)

📍
Updated Practice Location April 26, 2023

Registered at 298 MEDLEY CT, VINE GROVE, KY 401758421 (Tel: 2703521133)

📍
Updated Business Mailing Address April 26, 2023

Registered at 298 MEDLEY CT, VINE GROVE, KY 401758421 (Tel: 2703521133)

👤
Provider Name / Credentials Updated April 26, 2023

Recorded as ALISYN KANDYBOWICZ, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Specialist/Technologist (License #10260 in AZ)

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2016

Registered at 2702 E FLOWER ST, PHOENIX, AZ 850167461 (Tel: 6023816000)

📍
Updated Business Mailing Address November 16, 2016

Registered at 17100 E SHEA BLVD, SUITE #225, FOUNTAIN HILLS, AZ 852686625 (Tel: 4808374565)

👤
Provider Name / Credentials Updated November 16, 2016

Recorded as ALISYN JORDAN, SLP-ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Specialist/Technologist (License #10260 in AZ)

🟢
Initial NPI Registration & Enumeration November 16, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053853416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2016
Last Update: January 22, 2026
Sole Proprietor: No

Mailing Address

6525 Johnson Ranch Rd

Flagstaff, AZ 860048327

Phone: 6022845406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.