MS. KELLY SOUZA (NPI# 1619365038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619365038 |
| Entity Type | Individual |
| Full Name | MS. KELLY SOUZA |
| Credential | M.A. CCC-SLP |
| Practice Address |
1101 Stroud Ave Kingsburg CA 93631-1016 |
| Mailing Address |
692 E Blue Ridge Rd Fresno CA 93720-0884 |
| Practice Telephone | 5598975881 |
| Mailing Telephone | 5592400840 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 21898 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649731902 | Kelly Souza | Occupational Therapist | 10564 5th Ave Ne Ste 302, Seattle, WA 98125-7200 | 2019-03-28 |
| 1740826254 | Kelly Ann Souza | Behavior Technician | 290 W Exchange Street, Ste 101, Providence, RI 02903 | 2019-11-19 |
| Street Address |
1101 STROUD AVE |
| City | KINGSBURG |
| State | CA |
| Zip Code | 93631-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700833977 | Sunbridge Care Enterprises West LLC | Skilled Nursing Facility | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2006-05-31 |
| 1457992711 | Jennifer Elizabeth Fox | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2019-10-07 |
| 1518495852 | Alexandria L Alves | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2017-05-31 |
| 1457898975 | Brittany Marcelle | Occupational Therapist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2017-01-22 |
| 1184175853 | Lauren Moritz | Physical Therapy Assistant | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2016-10-18 |
| 1790187771 | Son Truong Vu | Physical Therapist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2014-09-22 |
| 1356769285 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2014-03-28 |
| 1265855688 | Andrea Marie Porter | Occupational Therapist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2014-01-22 |
| 1518206887 | Scindia Mouttapa | Physical Therapist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2013-02-06 |
| 1952531360 | Hiliary A Fantasia | Occupational Therapist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2009-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799790 | Eric Lane Silvius | Technician | 2340 18th Avenue, Kingsburg, CA 93631 | 2019-09-18 |
| 1356855647 | Henry Pereschica | Interpreter | 221 Mariposa St, Kingsburg, CA 93631 | 2017-11-22 |
| 1386796423 | Tri County Family Medical Clinic | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-17 |
| 1558665877 | Robert B Stillwagon | Physical Therapist | 392 Sierra St, Kingsburg, CA 93631 | 2010-12-29 |
| 1104074400 | Kingsburg Family Dental | Dentist | 1064 Lewis St, Kingsburg, CA 93631 | 2008-08-29 |
| 1447303268 | Gregory A Dunford | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1154474971 | Bruce A Trevino | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1790792356 | Model Drug Inc | Pharmacy | 1506 Draper St, Kingsburg, CA 93631 | 2006-08-03 |
| 1699760090 | Shaunna Shortes | Family Medicine | Po Box 472, Kingsburg, CA 93631-0472 | 2005-09-13 |
| 1386830214 | Kingsburg Joint Union Elementary | Local Education Agency (LEA) | 1310 Stroud Ave, Kingsburg, CA 93631-1000 | 2007-09-25 |
| Find all providers in zip 93631 | ||||
| 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 |
|---|---|---|---|---|
| 1144840844 | Emily Grace Hammond | Speech-Language Pathologist | 1073 Union St, Kingsburg, CA 93631-1531 | 2020-04-22 |
| 1457992711 | Jennifer Elizabeth Fox | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2019-10-07 |
| 1518495852 | Alexandria L Alves | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427459 | Leigh Marian Pearce | Speech-Language Pathologist | 1208 Peninsula Dr, Chico, CA 95928-3827 | 2020-11-03 |
| 1225638844 | Nicci Michele Grayson | Speech-Language Pathologist | 2653 E Glenoaks Blvd, Glendale, CA 91206-3108 | 2020-11-01 |
| 1992305544 | Katrina Schickenberg | Speech-Language Pathologist | 715 Emeline Ave, Santa Cruz, CA 95060-1911 | 2020-10-31 |
| 1780284539 | Annalissa Ramos-garcia | Speech-Language Pathologist | 2575 33rd St Apt 4, Sacramento, CA 95817-1941 | 2020-10-30 |
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1932709953 | Lera A Chernov | Speech-Language Pathologist | 4243 Bonita Rd Apt 60, Bonita, CA 91902-1441 | 2020-10-28 |
| 1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
| 1407455330 | Tyonie Patterson | Speech-Language Pathologist | 7845 Stewart and Gray Rd Apt 12, Downey, CA 90241-4771 | 2020-10-21 |
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1972102259 | Cinthia Yong-joo Do | Speech-Language Pathologist | 6670 Alton Pkwy Bldg 1, Irvine, CA 92618-3734 | 2020-10-19 |
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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.