KIIYA SHIBATA (NPI# 1164873402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164873402 |
| Entity Type | Individual |
| Full Name | KIIYA SHIBATA |
| Credential | M.S. CCC-SLP |
| Practice Address |
60 Daggett Dr San Jose CA 95134-2108 |
| Mailing Address |
548 Brannan St Unit 405 San Francisco CA 94107-1687 |
| Practice Telephone | 4084342277 |
| Mailing Telephone | 7602085386 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP24363 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
60 DAGGETT DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588913131 | Services for Brain Injury | Day Training, Developmentally Disabled Services | 60 Daggett Dr, San Jose, CA 95134-2108 | 2012-08-29 |
| 1427581974 | Maria Sedillo-glatt | Day Training, Developmentally Disabled Services | 60 Daggett Dr, San Jose, CA 95134-2108 | 2017-04-11 |
| 1528590031 | Shannon Black | Student in an Organized Health Care Education/Training Program | 60 Daggett Dr, San Jose, CA 95134-2108 | 2017-04-03 |
| 1669826491 | Michelle Urquidez | Occupational Therapist | 60 Daggett Dr, San Jose, CA 95134-2108 | 2016-04-18 |
| 1942692637 | Michelle Lee | Physical Therapist | 60 Daggett Dr, San Jose, CA 95134-2108 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| Find all providers in zip 95134 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1508464058 | Laurel Nakanishi | Speech-Language Pathologist | 6920 Santa Teresa Blvd Ste 101, San Jose, CA 95119-1344 | 2020-10-15 |
| 1013541952 | Maria Momin | Speech-Language Pathologist | 1033 S Daniel Way, San Jose, CA 95128-3124 | 2020-03-01 |
| 1619517661 | Anne Galiani | Speech-Language Pathologist | 760 N 7th St Apt 5207, San Jose, CA 95112-5044 | 2020-01-07 |
| 1538703749 | Kathy Holzhauer | Speech-Language Pathologist | 5828 Chesbro Ave, San Jose, CA 95123-3913 | 2019-10-30 |
| 1255980355 | Tiffany Chen | Speech-Language Pathologist | 950 Saint Elizabeth Dr, San Jose, CA 95126-3900 | 2019-09-10 |
| 1528611829 | Carnie M Tran | Speech-Language Pathologist | 107 Felice Ct, San Jose, CA 95138-1900 | 2019-07-17 |
| 1508424706 | Nicole Cavalea | Speech-Language Pathologist | 5948 Vista Loop, San Jose, CA 95124-6562 | 2019-06-03 |
| 1326604414 | Gurpreet Mandair | Speech-Language Pathologist | 615 N 17th St, San Jose, CA 95112-3029 | 2019-05-14 |
| 1144782178 | Catherine Anne Palumbo | Speech-Language Pathologist | 1644 Creek Dr, San Jose, CA 95125-1837 | 2019-03-31 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.