Kellie A Bessent
Individual provider Active NPI Speech-Language Assistant · Stanton, CA
NPI 1457080319 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1457080319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 5247 (CA)
- Practice address
- 12235 Beach Blvd Ste 107
Stanton, CA 90680-3962 - Phone
- (714) 786-6383
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5247 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant |
2355S0801X | 5247 | CA | Yes |
Addresses
Primary practice location
12235 Beach Blvd Ste 107
Stanton, CA 90680-3962
Mailing address
17216 Saticoy St # 141
Van Nuys, CA 91406-2103
Other providers in Stanton, CA
- Peter Barquin
- Barrons Dialysis LLC
- Marlene Basilio
- Cody Battaglia
- Beach Imaging Center Inc.
- Kaitlyn Betancourt
- Big Vine Home Health Services, Inc
- Michael Vincent Bigay
- Kamaliah Binti Jalalonmuhali
- Thomas Michael Boone
All providers in Stanton, CA · Speech-Language Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.