Desiree Contreras-Provost, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

32962 Issued in CA

Practice address

2910 McClure St
Oakland, CA 94609-3505

Phone

(510) 836-3677

NPI assigned

Dec 26, 2020

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

• Desiree Provost Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc

  • Rehabilitation Clinic/Center
  • Tustin, CA
  • NPI 1548940885
  NPD
• Orthopaedic and Neurological Rehab Inc

  • Rehabilitation Clinic/Center
  • Billings, MT
  • NPI 1225496540
  NPD

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1285221101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 APPLE COVE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285711",
            "telephone_number": "916-897-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 MCCLURE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093505",
            "telephone_number": "510-836-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS-PROVOST",
        "first_name": "DESIREE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "PROVOST",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Conscious Voice Collaborative
• Allison Marie Beers Constant, MD
• Nicole Elaine Constantine
• Lakeeta Sheerie Conti, RN
• Daysy Contreras Equihua
• Alexa Contreras
• Audrianna Contreras
• Evelyn Carolina Contreras
• Jalen Contreras
• Latrease Renee Contreras

• Speech-Language Pathologist in Oakland, CA
• Providers in Oakland, 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 12, 2023; 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.