Individual provider Active NPI

Kareesha De Visser, M.A., CF-SLP

  • Speech-Language Pathologist
  • Baldwin Park, CA
National Provider Identifier
1013827179
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
260168345 Issued in CA
Practice address
14600 Cavette PL
Baldwin Park, CA 91706-2708
Phone
(626) 968-1142
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 260168345 CA Primary

Addresses

Primary practice location

14600 Cavette PL
Baldwin Park, CA 91706-2708

Mailing address

14600 Cavette PL
Baldwin Park, CA 91706-2708
Phone (626) 968-1142

Other practice location 1

13400 Foster Ave
Baldwin Park, CA 91706-4838
Phone (626) 962-1300 ext. 87786

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1013827179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 CAVETTE PL",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062708",
            "telephone_number": "626-968-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 CAVETTE PL",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062708",
            "telephone_number": "626-968-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 Foster Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917064838",
            "country_code": "US",
            "telephone_number": "626-962-1300 x87786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VISSER",
        "first_name": "KAREESHA",
        "credential": "M.A., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "260168345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.