River City Speech

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

RIVER CITY SPEECH

Practice address

3589 Hume St
West Sacramento, CA 95691-6286

Phone

(916) 718-3005

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Shanon Kern

Title

Business Development

Phone

(916) 718-3005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1376174813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 HUME ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916286",
            "telephone_number": "916-718-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 HUME ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916286",
            "telephone_number": "916-718-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "SHANON",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "916-718-3005"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazilyn Jabree Richardson, RBT
• Krista Richardson
• Adrienne Ashley Riley
• River Bend Holdings, LLC
• River City Medical Group, Inc. (Sacramento Family Medical Center)
• Juan Enrique Rivera Valenzuela
• Cynthia Lee Robbins
• Heather Lynn Roberts
• Monica Robledo
• Marina Robles, LCSW

• Speech-Language Pathologist in West Sacramento, CA
• Providers in West Sacramento, 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 Feb 3, 2020; 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.