Individual provider Active NPI

Connie Conklin, SLP-A

  • Speech-Language Assistant
  • Bakersfield, CA
National Provider Identifier
1164262192
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SPA8654 Issued in CA
Practice address
9500 Flushing Quail Rd Unit 500
Bakersfield, CA 93312-2656
Phone
(661) 393-4022
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SPA8654 CA Primary

Addresses

Primary practice location

9500 Flushing Quail Rd Unit 500
Bakersfield, CA 93312-2656

Mailing address

9500 Flushing Quail Rd Unit 500
Bakersfield, CA 93312-2656
Phone (661) 393-4022

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

State licenses

LicenseStateTypeSpecialty
SPA8654CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Telespeech Therapy, Inc. CurrentSince Jun 2, 2024 Accepting new patients

Locations

9500 Flushing Quail Rd
Unit 500
Bakersfield, CA 93312
Phone (661) 201-0270

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1164262192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 FLUSHING QUAIL RD UNIT 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122656",
            "telephone_number": "661-393-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 FLUSHING QUAIL RD UNIT 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122656",
            "telephone_number": "661-393-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "CONNIE",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA8654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.