Priscilla Kittipol

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17581 Issued in CA

Practice address

675 Ygnacio Valley Rd Ste B212
Walnut Creek, CA 94596-8209

Phone

(510) 639-2929

NPI assigned

Feb 15, 2023

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

State licenses

Practice roles

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.

• Seven Bridges Speech Pathology Inc

  • Speech-Language Pathologist
  • Martinez, CA
  • NPI 1508309113
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1457058976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE B212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE B212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968209",
            "telephone_number": "510-639-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTIPOL",
        "first_name": "PRISCILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine A Kirchenbauer
• Kalila A Kirk, FNP
• Haley D Kirkpatrick, N.P.
• Laurie Kirkpatrick, PH.D.
• Courtney Kirstein
• Emily Kitts
• Andrew Atkinson Kives, M.D.
• Kla Audiology Services, Inc.
• Andrie Klass, MS, CGC
• Ian Christopher Klause, RADT

• Speech-Language Pathologist in Walnut Creek, CA
• Providers in Walnut Creek, 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 15, 2023; 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.