Terry Yanez

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA8212 Issued in CA

Practice address

210 W Birch St Ste 206
Brea, CA 92821-4504

Phone

(714) 494-6252

NPI assigned

Jul 16, 2024

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

Other names 1

• Terry Waltiere Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kidspeak Speech-Language Therapy Services Inc

  • Speech-Language Pathologist
  • Brea, CA
  • NPI 1861006868
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1043058860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W BIRCH ST STE 206",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214504",
            "telephone_number": "714-494-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W BIRCH ST STE 206",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214504",
            "telephone_number": "714-494-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "TERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA8212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "WALTIERE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Irene Worrell, M.A. SLP CCC
• Connor Wu
• Daniel Jonathan Wu, P.T.
• Michael C. Wu, M.D.
• Neille Mika Yamaguchi, O.T.
• Erica Yang, MS, LAC, MTOM, BS
• Hee Jin Yang
• Hsiao-Yi Yang, OD
• Mimi Fu Yang, D.D.S.
• Samuel Jin-Sue Yang, DO

• Speech-Language Assistant in Brea, CA
• Providers in Brea, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.