Kristina Lebich, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

8005 Issued in CA

Practice address

4380 Auburn Blvd
Sacramento, CA 95841-4148

Phone

(916) 444-0033

NPI assigned

Sep 12, 2023

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

• Kristina Nazimova 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.

• Jabbergym, LLC

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1114685658

  Speech-Language Assistant

  NPD
• Jabbergym, LLC

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1356009898

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1114704277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 SHAVER CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 AUBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414148",
            "telephone_number": "916-444-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBICH",
        "first_name": "KRISTINA",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "NAZIMOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary Douglas Leatherman
• Michael Patrick Leathers, M.D.
• Michael W Leathers, M.D.
• Benjamin Russell Leavy, M.D.
• Ann C Leber, LMFT
• Midalia M Lebron
• Amanda Lechner
• Ingrid Leckliter, PH.D.
• Madeleine Simone Leclaire, MS
• Trinh Ngoc Lecomte

• Speech-Language Assistant in Sacramento, CA
• Providers in Sacramento, 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 Sep 12, 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.

Verify at the official NPI Registry.