DR. KELLY NETT CORDERO PHD, CCC SLP
NPI 1609099779
Speech-Language Pathologist in Phoenix, AZ

Active since April 10, 2007Accepts Medicare Assignment
124 W. THOMAS RD. SUITE 320, PHOENIX, AZ 85013(602) 933-1050(602) 933-4320 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2024, Aug 29, 2023, Sep 18, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Kelly Nett Cordero Phd, Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY NETT CORDERO PHD, CCC SLP (NPI 1609099779) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (SLP9986) and active in the NPI registry since April 2007. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1609099779
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDR. KELLY NETT CORDEROCredential: PHD, CCC SLP
Location Address124 W. THOMAS RD. SUITE 320Phoenix, AZ 85013
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-1813
Fax(602) 933-4320
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 10, 2007
Last NPPES UpdateJune 21, 20245 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1609099779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · SLP9986
Definition
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.
124 W. THOMAS RD. SUITE 320, Phoenix, AZ 85013

Other Names 1

Former Name (1)Ms. Kelly Lybb Nett Ma, Ccc Slp

Other Identifiers 1

Medicaid167928AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Nett Cordero Phd, Ccc Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345536991
PECOS Enrollment IDI20160907001761

Medicare Billing Reassignment

Medicare enrollment records show Kelly Cordero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Cordero's NPI number?

The NPI number for Kelly Cordero is 1609099779. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Ms. Kelly Lybb Nett Ma, Ccc Slp.

Where is Kelly Cordero located?

Kelly Cordero practices at 124 W. Thomas Rd. Suite 320, Phoenix, AZ 85013. The listed phone number is (602) 933-1050.

What is Kelly Cordero's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Cordero enrolled in Medicare?

Yes. Kelly Cordero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Cordero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Cordero reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Cordero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Cordero accept?

Health plans from Imperial Insurance Companies, Inc. list Kelly Cordero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Cordero was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.