Active NPI
Katelyn Reno South
- Speech-Language Assistant
- San Clemente, CA
National Provider Identifier
1285958132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 1151
- Practice address
- 1000 Calle Amanecer
San Clemente, CA 92673-6214 - Phone
- (949) 498-5100
- NPI assigned
- Mar 22, 2010
- Last updated
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 1151 | CA | Primary |
Addresses
Primary practice location
1000 Calle Amanecer
San Clemente, CA 92673-6214
Mailing address
1000 Calle Amanecer
San Clemente, CA 92673-6214
Phone (949) 498-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1285958132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CALLE AMANECER",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736214",
"telephone_number": "949-498-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CALLE AMANECER",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736214",
"telephone_number": "949-498-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "KATELYN",
"middle_name": "RENO",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2025-05-15",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "1151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
- Krista Sornborger, DPT
- South County Addiction Treatment Services, Inc. (Orange County Addiction Treatment Services)
- South County Urgent Care Medical Corporation
- South Oc Wellness
- South Orange County Outpatient Surgical Center Inc (South Orange County Outpatient Surgery Center)
- Daniel A Souza, PT
- Terri A. Souza, PT
- Suzanne Marie Sowle, MS, SLP-CF
- Caitlin Spates, COTA
- Sandra Jo Spencer, M.ED., MA. PPSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.