Individual provider Active NPI

Summer Baker, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lancaster, CA
National Provider Identifier
1295194520
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP17647 Issued in CA
Practice address
43845 10TH St W Ste 1B
Lancaster, CA 93534-4800
Phone
(661) 480-6443
Fax
(661) 438-1811
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SP17647 CA Primary

Addresses

Primary practice location

43845 10TH St W Ste 1B
Lancaster, CA 93534-4800

Mailing address

43845 10TH St W Ste 1B
Lancaster, CA 93534-4800
Phone (661) 480-6443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721001106 CA Practitioner - Qualified Speech Language Pathologist 2860766003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP17647CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Talk Therapy, Inc. CurrentSince Mar 15, 2016 Accepting new patients

Locations

43845 10th St W
Ste 1B
Lancaster, CA 93534
Phone (661) 438-1811

43845 10th St W
Ste 1A
Lancaster, CA 93534
Phone (661) 480-6443

26639 Valley Center Dr
Ste 101
Santa Clarita, CA 91351
Phone (661) 254-1842

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295194520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43845 10TH ST W STE 1B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344800",
            "telephone_number": "661-480-6443",
            "fax_number": "661-438-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43845 10TH ST W STE 1B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344800",
            "telephone_number": "661-480-6443",
            "fax_number": "661-438-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SUMMER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.