Carolyn Przybyla

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22583 Issued in CA

Practice address

469 E North St
Manteca, CA 95336-4710

Phone

(209) 823-1788

NPI assigned

Mar 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1225499403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364710",
            "telephone_number": "209-823-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLA",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Araceli Hernandez Prado
• Elizabeth Preciado
• Clinton Earl Prescott Jr., M.D.
• Dajea Price
• Prime Path Medical Transport LLC
• Iona A Puchta, COTA
• David T. Quach, MD
• Rizal Tamayo Querida Jr.
• R. Ciccarelli, DDS., R. Joseph, DDS., M. El Farra, DDS., D. Saini, DDS
• Kemisha Shiree Radford, PPS, LMFT

• Speech-Language Pathologist in Manteca, CA
• Providers in Manteca, 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 Mar 18, 2016; 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.