Narissa K Ventress, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

21706 Issued in CA

Practice address

10061 Talbert Ave Ste 103
Fountain Valley, CA 92708-5159

Phone

(714) 272-3090

NPI assigned

Jun 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avid Speech Therapy

  • Speech-Language Pathologist
  • Fountain Valley, CA
  • NPI 1942851316
  Medicare reassignment NPD Authorized official
• Avid Speech Therapy

  • Speech-Language Pathologist
  • Fountain Valley, CA
  • NPI 1457894271
  NPD Authorized official

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1265870471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "714-272-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "714-272-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRESS",
        "first_name": "NARISSA",
        "middle_name": "K",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8034",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA SPEECH LANGUAGE HEARING & AUDIOLOGY BOARD",
            "identifier": "21706",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvina Vargas
• Corry Ann Varner, CNM
• Angelica Paola Vazquez Lopez
• Adriana I Velez, ATC
• Vamsi Vemireddy
• Zenaida Cabaron Vera
• Melanie Verdugo Corral
• Leah M Vergara, PA-C
• Madison Vermazen
• Victor B. Siew, M.D., Inc

• Speech-Language Pathologist in Fountain Valley, CA
• Providers in Fountain Valley, 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 Apr 26, 2022; 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.