KINNEDY MACIAS (NPI# 1962998138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962998138 |
| Entity Type | Individual |
| Full Name | KINNEDY MACIAS |
| Practice Address |
25102 Jefferson Ave Murrieta CA 92562-1707 |
| Practice Telephone | 9514611190 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| 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 |
4921 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31205 Pauba Rd, Temecula, CA 925926220 | 9516939600 |
| Street Address |
25102 JEFFERSON AVE |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482531 | Laura Ann Williams | Family Medicine | 25102 Jefferson Ave, Suite A, Murrieta, CA 92562-1707 | 2005-10-25 |
| 1548878564 | Alyssa Reann Warren | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2020-07-15 |
| 1275174336 | Jessica Wakelin | Speech-Language Pathologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-09-30 |
| 1225684962 | Iman Farag | Speech-Language Pathologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-08-16 |
| 1679031132 | Jocelyn Reyes | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-03-04 |
| 1568904803 | Chloe Hill | Speech-Language Pathologist | 25102 Jefferson Ave, Suite D, Murrieta, CA 92562-1707 | 2016-11-16 |
| 1841732856 | Krista Wilson | Speech-Language Pathologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2016-11-08 |
| 1053764712 | Rachel Anne Smart | Speech-Language Pathologist | 25102 Jefferson Ave, Suite D, Murrieta, CA 92562-1707 | 2016-07-18 |
| 1669832259 | Krystal Fore | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2016-02-25 |
| 1235599838 | Valeria Camarena | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| 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 |
|---|---|---|---|---|
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1750899969 | Karmen Lorena Alvarado | Specialist/Technologist | 28732 Lavatera Ave, Murrieta, CA 92563-3487 | 2018-01-22 |
| 1447703111 | Lidia Carrion | Specialist/Technologist | 23716 Lincoln Ave, Murrieta, CA 92562-4817 | 2016-07-29 |
| 1750790093 | Ashly Soffe | Specialist/Technologist | 40350 Corte Campeon, Murrieta, CA 92562-3834 | 2014-08-12 |
| 1649870171 | Marisa Macias | Specialist/Technologist | 41760 Ivy St Ste 101, Murrieta, CA 92562-9416 | 2020-10-26 |
| 1548878564 | Alyssa Reann Warren | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2020-07-15 |
| 1477187789 | Tammie Trujillo Webb | Specialist/Technologist | 41760 Ivy St Ste 101, Murrieta, CA 92562-9416 | 2020-02-25 |
| 1679031132 | Jocelyn Reyes | Specialist/Technologist | 25102 Jefferson Ave, Murrieta, CA 92562-1707 | 2019-03-04 |
| 1164996955 | Kimberly Rios | Specialist/Technologist | 41760 Ivy St Ste 101, Murrieta, CA 92562-9408 | 2019-01-15 |
| 1104335231 | Melissa Mei Tran | Specialist/Technologist | 25102 Jefferson Ave Ste D, Murrieta, CA 92562-1708 | 2017-09-20 |
| Find all providers in MURRIETA | ||||
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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.