Kimberly Ann Eissing, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11693 Issued in CA

Practice address

1651 E 4TH St Ste 150
Santa Ana, CA 92701-5173

Phone

(714) 835-5587

NPI assigned

Apr 1, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Childrens Learning Connection, LLC

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1689723595
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1154563476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E 4TH ST STE 150",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015173",
            "telephone_number": "714-835-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E 4TH ST STE 150",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015173",
            "telephone_number": "714-835-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISSING",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Eide
• Lynn Maria Einarsson, MS, OT
• Michael J Einbund, MD
• Luana Eisenbrey
• Martin Eli Eisner, MD
• Sandra Blair Ekimoto, NP
• Eklotho, Inc
• Sama El-Mansy
• Mohamed Waddah El-Nachef, MD
• Tashfia Elahi

• Speech-Language Pathologist in Santa Ana, CA
• Providers in Santa Ana, 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 Sep 24, 2010; 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.