Individual provider Active NPI

Lindsey Kiamanesh, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1558722777
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
25197 Issued in CA
Practice address
6340 Variel Ave Ste a
Woodland Hills, CA 91367-2514
Phone
(818) 888-4559
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 25197 CA Primary

Addresses

Primary practice location

6340 Variel Ave Ste a
Woodland Hills, CA 91367-2514

Mailing address

13701 Riverside Dr Ste 302
Sherman Oaks, CA 91423-2447

Other practice location 1

13701 Riverside Dr Ste 302
Sherman Oaks, CA 91423-2447
Phone (818) 851-0598

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25197CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1558722777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 VARIEL AVE STE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672514",
            "telephone_number": "818-888-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13701 Riverside Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914232447",
            "country_code": "US",
            "telephone_number": "818-851-0598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIAMANESH",
        "first_name": "LINDSEY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.