Koleen Khale Testado

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

800 S Lower Sacramento Rd
Lodi, CA 95242-3635

Phone

(209) 333-3136

NPI assigned

Jun 5, 2022

Last updated

Feb 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1053040212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 SUMMERSDALE DR APT 438",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958236501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S LOWER SACRAMENTO RD",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423635",
            "telephone_number": "209-333-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2453 Grand Canal Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078138",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTADO",
        "first_name": "KOLEEN KHALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Michelle Teeple
• Tamrah Miller Tenhaeff, PAC
• Bowen James Terra, DPT, PT
• Daniel W. Terry Jr., MD
• Cha Choukao Thao, D.O.
• Arvinder Kaur Thiara, M.D.
• Mark Thielenhaus
• Sharon Marie Thomason
• Melissa Thorbjornsen, RN, BSN, IBCLC

• Speech-Language Pathologist in Lodi, CA
• Providers in Lodi, 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 Feb 11, 2026; 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.