Individual provider Active NPI

Karen Elizabeth McCandliss

  • Speech-Language Assistant
  • Whittier, CA
National Provider Identifier
1013633361
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
7510 Issued in CA
Practice address
7313 Whittier Ave
Whittier, CA 90602-1132
Phone
(424) 442-9129
Fax
(310) 943-3821
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 7510 CA Primary

Addresses

Primary practice location

7313 Whittier Ave
Whittier, CA 90602-1132

Mailing address

7313 Whittier Ave
Whittier, CA 90602-1132
Phone (424) 442-9129

Other practice location 1

1028 W Avenue L12
Lancaster, CA 93534-7089
Phone (661) 524-4762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7510CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nurture Collective CurrentSince Oct 23, 2022 Accepting new patients

Locations

7313 Whittier Ave
Whittier, CA 90602
Phone (424) 442-9129

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1013633361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 WHITTIER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021132",
            "telephone_number": "424-442-9129",
            "fax_number": "310-943-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 WHITTIER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021132",
            "telephone_number": "424-442-9129",
            "fax_number": "310-943-3821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 W Avenue L12",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935347089",
            "country_code": "US",
            "telephone_number": "661-524-4762",
            "fax_number": "310-943-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANDLISS",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "7510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.