Annette Daniela Robles Van Sickle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5849 Issued in CA

Practice address

13101 Hartfield Ave
San Diego, CA 92130-1511

Phone

(858) 259-2222

Fax

(858) 259-5860

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1013147370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 HARTFIELD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301511",
            "telephone_number": "858-259-2222",
            "fax_number": "858-259-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 HARTFIELD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301511",
            "telephone_number": "858-259-2222",
            "fax_number": "858-259-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "ANNETTE DANIELA",
        "middle_name": "ROBLES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "5849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey R Van Ommering
• Irene L Van Oosbree
• Aisha Maria Van Pratt Levin, MD
• Benjamin Adam Van Pratt Levin, MD
• Marguerite Emilie Van Remoortere, MD
• Jenna Van Slyke, M.S.
• Christine Ann Van Tassel
• Sarah Elinor Van Valkenburgh, PSY.D.
• Leigh Van Vranken, M.D
• Nicole Van Winkle

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.