Shelley Marie Krueger Rieke, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 15863 Issued in CA

Practice address

1450 Oakridge Park Rd
Santa Maria, CA 93455-4560

Phone

(805) 598-4027

NPI assigned

Oct 21, 2007

Last updated

Oct 21, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1192924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192924800000",
    "number": "1346439866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 OAKRIDGE PARK RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554560",
            "telephone_number": "805-598-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 OAKRIDGE PARK RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554560",
            "telephone_number": "805-598-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER RIEKE",
        "first_name": "SHELLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-21",
        "last_updated": "2007-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 15863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Krepp, ENP-C, FNP-C
• Kayleigh Kresse-Salvatera
• Nicholas John Krier, M.D.
• Krikor Derbabian, DDS, Inc.
• Sarah Kristy
• Meagan Kruger, BCABA
• Adrian Gustavo Krulewecki, DDS
• Sebastian Krzywinski
• Ktam DDS Dental Corp
• Qing Kuang

• Speech-Language Pathologist in Santa Maria, CA
• Providers in Santa Maria, 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 21, 2007; 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.