CARISSA WOODDELL MS CCC-SLP
NPI 1699230813
Speech-Language Pathologist in Mendota, IL

Q: What is Carissa Wooddell's NPI number?

The NPI number for Carissa Wooddell is 1699230813. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Q: What is Carissa Wooddell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carissa Wooddell was last updated on September 7, 2023. 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.

Active since February 01, 2019Accepts Medicare Assignment

1401 E 12TH ST, MENDOTA, IL 61342(815) 539-1409 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Feb 1, 2019 (2 updates tracked since 2019).

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About Carissa Wooddell Ms Ccc-slp NPPES

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

CARISSA WOODDELL MS CCC-SLP (NPI 1699230813) is an individual speech-language pathologist provider in Mendota, Illinois, licensed in Illinois (146013301) and active in the NPI registry since February 2019. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1699230813

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCARISSA WOODDELLCredential: MS CCC-SLP

Location Address1401 E 12TH STMendota, IL 61342-9216

Mailing Address26556 N 400 East RdAncona, IL 61311-9805 · (815) 992-0376

Phone(815) 539-1409

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 1, 2019

Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1699230813 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 IL · 146013301

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.

1401 E 12TH ST, Mendota, IL 61342

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carissa Wooddell Ms 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 ID8426402926

PECOS Enrollment IDI20231003001269

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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