Victoria Chicca

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-1554 Issued in HI

Practice address

188 Mehani Cir # a
Kihei, HI 96753-8072

Phone

(661) 477-7571

NPI assigned

May 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1427403138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MEHANI CIR # A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538072",
            "telephone_number": "661-477-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MEHANI CIR # A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538072",
            "telephone_number": "661-477-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICCA",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-01",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-1554",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles H Ballard Inc
• Brock A. Charleston, P.T.
• Jennifer Ann Chase, DPT, MS
• Brian P Chenes, D.C.
• Cheryl E. Ayabe, O.D., Inc.
• Dinah Childress
• Ireneus Cholewa, N.D.
• Melissa Walsh Chong, CPM, LM
• Christine Shokorian LLC
• Jaycie Chun

• Speech-Language Pathologist in Kihei, HI
• Providers in Kihei, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.