Carissa Stenzel

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25708 Issued in CA

Practice address

255 N Lincoln St Ste a
Dixon, CA 95620-3238

Phone

(707) 366-5246

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Speech Therapy Consulting, Inc.

  • Speech-Language Pathologist
  • Dixon, CA
  • NPI 1730702804
  Medicare reassignment NPD

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1639675994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N LINCOLN ST STE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203238",
            "telephone_number": "707-366-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N LINCOLN ST STE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203238",
            "telephone_number": "707-366-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENZEL",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Solomon
• Speech Therapy Consulting, Inc.
• Cristina Sperry, CA PT LICENSE
• Tyler Dean Spilman, OD
• Karen Sprague, N.P.
• Wallace Troy Stevens, D.C.
• Kristin Sukeforth, NP
• Gayle L Sutcliffe, M.D.
• Roslyn Taggart
• Stephen Wayne Tessler, PH.D.

• Speech-Language Pathologist in Dixon, CA
• Providers in Dixon, 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 Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.