Katrina L Maxwell, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP15604 Issued in CA

Practice address

1070 S Santa Fe Ave
Suite 26a
Vista, CA 92084-7007

Phone

(760) 277-3465

NPI assigned

Oct 7, 2008

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1194976241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 FOXGLOVE ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243317",
            "telephone_number": "760-707-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE",
            "address_2": "SUITE 26A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847007",
            "telephone_number": "760-277-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KATRINA",
        "middle_name": "L",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Matthews
• Kyle Allen Matthews, CMT
• Michael Matthews
• Oscar A Matthews, M.D.
• Duke D Maxwell, D.C.
• Cheryl Annette Mayers
• John Rossall Maynes, D.C.
• Laurel Ann Mayo, RADT
• Rahele Mazarei, D.O.
• McAlister Institute for Treatment & Education, Inc.

• Speech-Language Pathologist in Vista, CA
• Providers in Vista, 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 Oct 7, 2008; 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.