Individual provider Active NPI

Agnes Cuison, MS, CCC-SLP

  • Speech-Language Pathologist
  • Elk Grove, CA
National Provider Identifier
1144375353
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP12992 Issued in CA
Practice address
8351 Eastleigh CT
Elk Grove, CA 95624-4066
Phone
(916) 320-7899
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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 SP12992 CA Primary

Addresses

Primary practice location

8351 Eastleigh CT
Elk Grove, CA 95624-4066

Mailing address

8351 Eastleigh CT
Elk Grove, CA 95624-4066
Phone (916) 320-7899

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12992CAMDOccupational Therapist
SP12992CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1144375353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 EASTLEIGH CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244066",
            "telephone_number": "916-320-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 EASTLEIGH CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244066",
            "telephone_number": "916-320-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUISON",
        "first_name": "AGNES",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.