Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609099779 Individual Practitioner Female Practitioner

Dr. Kelly Nett Cordero , PhD, CCC SLP

Speech-Language Pathologist • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Cordero, PhD, CCC SLP is a certified Speech-Language Pathologist practicing in Phoenix, AZ. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Cordero delivers high-quality medical care to the local community at 124 W. THOMAS RD. SUITE 320.

Dr. Cordero is affiliated with Phoenix Children'S Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

124 W. Thomas Rd. Suite 320

Phoenix, AZ 85013

Telephone 6029331050
Fax 6029334320
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +14.9 yrs vs City Avg
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
942 Specialists

Practicing in Phoenix, AZ (4584 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cordero (28 Years) 28 Yrs
Phoenix Specialty Average (13.1 Years) 13.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
167928 (AZ)

Hospital & Practice Group Affiliations

Phoenix Children's Hospital

1919 E Thomas Rd, Phoenix, AZ 850167710

Phone: 6029330930

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1225089774

Doctor of Medicine (M.D.)

Trey Watmore , PA-C

Physician Assistant

NPI 1275272353

Physician Assistant (Certified)

Megan Winter

Physician Assistant

NPI 1316802523
Dr. Jared Gilliland , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1427586957

Doctor of Dental Surgery

Madison Marchese , PA-C

Physician Assistant

NPI 1538043583

Physician Assistant (Certified)

NPI 1780109454

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

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

Speech-Language Pathologist (License #SLP9986 in AZ)

📍
Updated Business Mailing Address August 29, 2023

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

📍
Updated Practice Location September 18, 2019

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

📍
Updated Business Mailing Address September 18, 2019

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

👤
Provider Name / Credentials Updated September 18, 2019

Recorded as KELLY CORDERO, PHD, CCC SLP

📍
Updated Practice Location September 17, 2018

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

📍
Updated Business Mailing Address September 17, 2018

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

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

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

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLY CORDERO, MA CCC SLP

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

Speech-Language Pathologist (License #7699 in MN)

🟢
Initial NPI Registration & Enumeration April 10, 2007

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: 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

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029331813

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.