Individual provider Active NPI

Krystal Allison Canellas, SLP-A

  • Speech-Language Pathologist
  • Chula Vista, CA
National Provider Identifier
1336734029
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP41067 Issued in CA
Practice address
865 Anchorage PL
Chula Vista, CA 91914-4535
Phone
(619) 271-4957
NPI assigned
Mar 4, 2021
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 SP41067 CA Primary

Addresses

Primary practice location

865 Anchorage PL
Chula Vista, CA 91914-4535

Mailing address

865 Anchorage PL
Chula Vista, CA 91914-4535
Phone (619) 271-4957

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

LicenseStateTypeSpecialty
SI4301FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Speech Center of Florida Speech-Language Pathologist CurrentSince Mar 7, 2021 Accepting new patients
Hearing and Speech Center of Florida PastSince Mar 7, 2021 Accepting new patients
Life Step Therapy Inc. PastSince Feb 11, 2020 Accepting new patients

Locations

9425 Sunset Dr
Ste 261
Miami, FL 33173
Phone (305) 271-7343

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1336734029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 ANCHORAGE PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144535",
            "telephone_number": "619-271-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 ANCHORAGE PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144535",
            "telephone_number": "619-271-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELLAS",
        "first_name": "KRYSTAL",
        "middle_name": "ALLISON",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP41067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.