Tera Labrosciano, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10604 Issued in CA

Practice address

30588 Via Lakistas
Lake Elsinore, CA 92530-6976

Phone

(951) 847-5909

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tera Kokot Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1306490511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CAPTIVA CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828507",
            "telephone_number": "951-847-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30588 VIA LAKISTAS",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925306976",
            "telephone_number": "951-847-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABROSCIANO",
        "first_name": "TERA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERA",
            "last_name": "KOKOT",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Analysia Kroese
• Richard J Krottmayer Jr.
• Kaitlyn Nicole Krueger
• Kun Bai Business Inc.
• Sandar Kyi, MD
• Debra D Lacy
• Kaleb Can Lai
• Lake Elsinore Clinica Medica Familiar a Medical Corporation (Lake Elsinore Clinica Medica Familiar)
• Lake Elsinore Congregate Care Inc.
• Lake Elsinore Diagnostics

• Speech-Language Pathologist in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 Jul 25, 2019; 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.