Active NPI
Wendy Leigh Kissi, SLPA
- Speech-Language Assistant
- Sacramento, CA
National Provider Identifier
1457080137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 5105
- Practice address
- 3601 Marconi Ave
Sacramento, CA 95821-5309 - Phone
- (916) 481-1300
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 5105 | CA | Primary |
Addresses
Primary practice location
3601 Marconi Ave
Sacramento, CA 95821-5309
Mailing address
3601 Marconi Ave
Sacramento, CA 95821-5309
Phone (916) 481-1300
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capuchino Therapy Group | Multi-Specialty | Current | Accepting new patients |
Locations
3601 Marconi Ave
Sacramento, CA 95821
Phone (916) 481-1300
Organizations & group practices 1
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": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1457080137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958215309",
"telephone_number": "916-481-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958215309",
"telephone_number": "916-481-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSI",
"first_name": "WENDY",
"middle_name": "LEIGH",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "5105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Kirsten Leitner, Licensed Marriage & Family Therapist, a Prof. Corp.
- Kirsten McWilliams Doctor of Audiology Inc.
- Kelly Lynn Kirsten, M.S., C.G.C.
- Shamit Kishore
- Paul Frank Kisilewicz, DPM
- David P. Kissinger, MD
- Lauren Elizabeth Kissinger, MD
- Michelle Marie Kissinger
- Suzanne Kisting-Leung, RN, IBCLC
- Barbara M Kitada, NFTI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.