Active NPI
Katelynn Renee Christiansen, M.S.
- Speech-Language Pathologist
- Fresno, CA
National Provider Identifier
1023625431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864 - Phone
- (559) 970-8277
- NPI assigned
- Sep 29, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CA | Primary |
Addresses
Primary practice location
1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864
Mailing address
3655 N Quality Ave
Sanger, CA 93657-9359
Phone (559) 360-2402
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | The TALK Team |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1023625431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 N QUALITY AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936579359",
"telephone_number": "559-360-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 E BULLARD AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105864",
"telephone_number": "559-970-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "KATELYNN",
"middle_name": "RENEE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2023-11-27",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "Y",
"affiliationName": "The TALK Team",
"address_1": "1752 E Bullard Ave Ste 101",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937105864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
- Carl E Christenson, DPM
- Joan W Christenson, MSW
- Maria Christina Christenson, PHARMD, MPH
- Christian Lopez Cornejo DMD Dental Corp (Community Dental Group)
- Robert Christian, LVN
- Christine Lopopolo MD, Inc.
- Victoria Christman
- Mayra Christoffersen, FNP-C
- Christopher D. Millis LMFT Wellness Center
- Christopher E Mason Fresno Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.