KATHLEEN STACIE KING (NPI# 1205348166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205348166 |
| Entity Type | Individual |
| Full Name | KATHLEEN STACIE KING |
| Credential | SLPA |
| Practice Address |
3759 Ridge Line Dr San Bernardino CA 92407-4172 |
| Practice Telephone | 9096778255 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
4382 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144761107 | Kathleen Marie King | Midwife | 4900 Broad Rd Ste 4h, Department of Midwifery Ob Gyn, Syracuse, NY 13215-2265 | 2017-03-10 |
| 1750615803 | Kathleen M King | Social Worker | 222 Columbia St Nw, Olympia, WA 98501-8208 | 2009-09-22 |
| 1063644276 | Kathleen Ann King | Counselor | 600 N 36th St Ste 205, Seattle, WA 98103-8697 | 2009-08-20 |
| 1013192517 | Kathleen Elizabeth King | Acupuncturist | 1111 Sw 10th Ave, Portland, OR 97205-2411 | 2008-01-02 |
| 1417096355 | Kathleen Marie King | Counselor | 32700 Old Woman Springs Rd, Ste C, Lucerne Valley, CA 92356 | 2007-02-06 |
| 1033162821 | Kathleen A King | Physical Therapist | 362 Farmington Ave, Plainville, CT 06062-1323 | 2006-05-19 |
| 1598742231 | Kathleen Stroman King | Psychologist | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2005-12-23 |
| 1013557677 | Kathleen King | Registered Nurse | 2714 State Highway 29, Johnstown, NY 12095-4041 | 2020-01-13 |
| 1144749318 | Kathleen E King | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2017-09-19 |
| 1649714338 | Kathleen King | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2016-12-14 |
| Street Address |
3759 RIDGE LINE DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| Find all providers in zip 92407 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619428380 | Vivian Martinez | Specialist/Technologist | 3032 N Pennsylvania Ave, San Bernardino, CA 92407-6656 | 2016-10-18 |
| 1215351945 | Abigail Corrujedo | Specialist/Technologist | 2465 Willow Dr, San Bernardino, CA 92404-3117 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434552 | Onneka Taitano | Specialist/Technologist | 18743 Pioneer Blvd Ste 203, Artesia, CA 90701-5662 | 2020-10-09 |
| 1366058505 | Amanda Lauren Ramos Liberto Mcnamara | Specialist/Technologist | 7525 Metropolitan Drive, 308, San Diego, CA 92108-4412 | 2020-09-22 |
| 1851907679 | Samantha Gutierrez-curran | Specialist/Technologist | 12582 Naples Way, Rancho Cucamonga, CA 91739-2631 | 2020-09-17 |
| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1508471186 | Rachael Catherine Stankey | Specialist/Technologist | 7 Seton Ct, Rancho Mirage, CA 92270-3714 | 2020-09-10 |
| 1104431774 | Andrea Marie Gonzalez | Specialist/Technologist | 1202 Kingsdale Dr, Corona, CA 92878-7708 | 2020-09-10 |
| 1316551302 | Taylor Kami Hirata | Specialist/Technologist | 21515 Hawthorne Blvd Ste Gl-100, Torrance, CA 90503-6501 | 2020-09-07 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1205449576 | Blind Children's Learning Center | Specialist/Technologist | 18542 Vanderlip Ave, Santa Ana, CA 92705-8201 | 2020-08-26 |
| 1922618867 | Jennifer Chan | Specialist/Technologist | 1281 Calle Cecilia, San Dimas, CA 91773-4435 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
Please comment or provide details below to improve the information on KATHLEEN STACIE KING.
| 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.