Conversa Speech & Language Therapy, PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CONVERSA SPEECH & LANGUAGE THERAPY, PC

Practice address

320 Professional Center Dr Ste 200
Rohnert Park, CA 94928-2159

Phone

(707) 343-8063

Fax

(707) 806-0227

NPI assigned

Jul 18, 2022

Last updated

May 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia A Carrera, MS, CCC-SLPNPI 1205129574

Title

Owner, Speech-Language Pathologist

Phone

(707) 343-8063

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Annette Carrera, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rohnert Park, CA
  • NPI 1205129574
  Medicare reassignment NPD Authorized official
• Mallory R Nelson, SLP

  • Speech-Language Pathologist
  • Rohnert Park, CA
  • NPI 1083506117
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1144955964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PROFESSIONAL CENTER DR STE 200",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282159",
            "telephone_number": "707-343-8063",
            "fax_number": "707-806-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PROFESSIONAL CENTER DR STE 200",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282159",
            "telephone_number": "707-343-8063",
            "fax_number": "707-806-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERSA SPEECH & LANGUAGE THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "707-343-8063",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sofia Cole, DO
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• Konstanze Emmaline Conradt-Franco, NP
• Corsi Hoey Pearson DDS Inc
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #659)
• Costco Wholesale Corporation (Costco Hearing Aid #659)
• Cotati-Rohnert Park Unified School District

• Speech-Language Pathologist in Rohnert Park, CA
• Providers in Rohnert Park, 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 May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.