Individual provider Active NPI

Sierra Bone

  • Speech-Language Pathologist
  • Fairfield, CA
National Provider Identifier
1245858810
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30178 Issued in CA
Practice address
1261 Travis Blvd
Fairfield, CA 94533-4897
Phone
(707) 344-1771
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 Pathologist 235Z00000X 30178 CA Primary

Addresses

Primary practice location

1261 Travis Blvd
Fairfield, CA 94533-4897

Mailing address

5538 Bobby Dr
Livermore, CA 94551-6947
Phone (925) 548-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805001329 CA Practitioner - Qualified Speech Language Pathologist 1254713316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speak and Sprout Speech Therapy Inc Speech-Language Pathologist CurrentSince Jun 30, 2024 Accepting new patients
Language Essentials Speech Pathology, Inc. Speech-Language Pathologist CurrentSince Jul 18, 2022 Accepting new patients
Proficio Speech Therapy Group, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

60 Fenton St
Ste 2
Livermore, CA 94550
Phone (925) 743-3322

210 Porter Dr
Ste 120
San Ramon, CA 94583
Phone (925) 394-4206

Organizations & group practices 3

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1245858810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 BOBBY DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516947",
            "telephone_number": "925-548-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-344-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONE",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.