Carrie Kebelbeck, M.A.CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 9740 Issued in CA

Practice address

6824 E Espanita St
Long Beach, CA 90815-4817

Phone

(310) 293-3692

NPI assigned

Dec 30, 2014

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1508254467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 E ESPANITA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 E ESPANITA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154817",
            "telephone_number": "310-293-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBELBECK",
        "first_name": "CARRIE",
        "credential": "M.A.CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 9740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Kazempoor, FNP
• Maryam Kazemzadeh, M.D.
• Amir Ebrahim Kazim, DDS
• Dallas Jamal Kearney
• Danecia Monae Kearney
• Phyllis Keener, N.P.
• Kendall Kehr, PHARMD
• Bettina Karoline Kehrle, M.D.
• Joseph W Keichline, M.D.
• Carole Sue Keisteadt, D.C.

• Speech-Language Pathologist in Long Beach, CA
• Providers in Long Beach, 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 Dec 30, 2014; 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.