Yekaterina Vernikov, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011257 Issued in PA

Practice address

967 Kainui Dr
Kailua, HI 96734-2027

Phone

(812) 219-2952

NPI assigned

May 1, 2019

Last updated

Sep 23, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1497310809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 KAINUI DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342027",
            "telephone_number": "812-219-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 KAINUI DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342027",
            "telephone_number": "812-219-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Covered Bridge Path",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191152123",
            "country_code": "US",
            "telephone_number": "812-219-2952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERNIKOV",
        "first_name": "YEKATERINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Margaret Vandiver
• Lynnette Dawn Vanwaus-Carreon, RBT
• Melissa Kay Vargo, PSY.D.
• Karissa Varner, OTD, OTR/L
• Richard Steven Velasquez, LCSW
• Mark Scott Verschell, PSY.D.
• Susan M Vicenti, MD
• Sanae Vierra, LMT
• Jakriz Villahermosa, BCBA
• Victoria Villalba

• Speech-Language Pathologist in Kailua, HI
• Providers in Kailua, 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 Sep 23, 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.