Individual provider Active NPI

Kristi Nicole Tekerlek, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Clovis, CA
National Provider Identifier
1053955641
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13239 Issued in CA
Practice address
785 North Medical Center Drive West
Clovis, CA 93611-9372
Phone
(559) 387-1706
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13239 CA Primary

Addresses

Primary practice location

785 North Medical Center Drive West
Clovis, CA 93611-9372

Mailing address

1560 E Shaw Ave
Fresno, CA 93710-8004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktekerlek@communitymedical.org

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1053955641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 NORTH MEDICAL CENTER DRIVE WEST",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936119372",
            "telephone_number": "559-387-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKERLEK",
        "first_name": "KRISTI",
        "middle_name": "NICOLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktekerlek@communitymedical.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "785 North Medical Center Dr. W",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936119372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.