CORRI SANDOVAL (SLP) – Speech-Language Pathologist, NPI 1033656590

CORRI SANDOVAL (SLP) is a healthcare provider. based in Laramie, Wyoming. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. SP-581 (WY). The NPI Number for CORRI SANDOVAL (SLP) is 1033656590

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
CORRI SANDOVAL (SLP)
NPI
1033656590
Phone
(307) 742-3728
Address
503 S 18TH ST
Enumeration Date
23 January 2017
Last Update Date
23 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3074315055
Graduation Year
2010 (16 years ago)
PAC ID
9537434881
Group Practice PAC ID
4183607054
Professional Enrollment ID
I20171012001058
Address ID
WY820014714CH820XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

27 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in WY

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Provider Addresses for CORRI SANDOVAL (SLP)

  • 503, South 18th Street, Laramie, Albany County, Wyoming, 82070, United States

    LARAMIE, WY 820704303

    Phone: (307) 742-3728

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171012001058IQualified Speech Language PathologistWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82070)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183607054View full group profile
NameSpecialtyState
Clinical Social WorkerWY
-WY
Qualified Speech Language PathologistWY
Psychiatry, Addiction MedicineWY
-WA
Physician AssistantWY
Nurse PractitionerWY
Qualified AudiologistWY
Family PracticeWY
Family PracticeWY

Reviews

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Frequently asked questions

What number should I use to identify CORRI SANDOVAL (SLP) for billing?
Administrative and clinical systems typically use NPI 1033656590 for CORRI SANDOVAL (SLP).
Does the public listing show CORRI SANDOVAL (SLP) as active?
CORRI SANDOVAL (SLP)'s NPI record reflects an active status in NPPES.
How should patients interpret CORRI SANDOVAL (SLP)'s specialty?
The extract shows Speech-Language Pathologist for CORRI SANDOVAL (SLP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CORRI SANDOVAL (SLP)?
CORRI SANDOVAL (SLP) is associated with Laramie, Wyoming in the same public data insurers reference.
Who maintains CORRI SANDOVAL (SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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