Individual provider Active NPI

Rachel Marie Wolfkill, CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1396411294
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
32130 Issued in CA
Practice address
911 Bern CT Ste 130
San Jose, CA 95112-1242
Phone
(408) 437-8864
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 32130 CA Primary

Addresses

Primary practice location

911 Bern CT Ste 130
San Jose, CA 95112-1242

Mailing address

1390 Saddle Rack St Apt 132
San Jose, CA 95126-5113
Phone (561) 531-2712

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
32130CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Intervention for Children With Autism Speech-Language Pathologist PastSince Aug 28, 2021 Accepting new patients
County of Santa Clara PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 2

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1396411294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 SADDLE RACK ST APT 132",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265113",
            "telephone_number": "561-531-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BERN CT STE 130",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121242",
            "telephone_number": "408-437-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFKILL",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.