Active NPI
Caylee Gray Palmisano, MS
- Speech-Language Pathologist
- Santa Monica, CA
National Provider Identifier
1639895006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17291
- Practice address
- 1932 14TH St
Santa Monica, CA 90404-4605 - Phone
- (310) 344-2276
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17291 | CA | Primary |
Addresses
Primary practice location
1932 14TH St
Santa Monica, CA 90404-4605
Mailing address
1703 Penmar Ave Apt 1
Venice, CA 90291-2968
Phone (818) 579-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17291 | Other | CA | RPE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Gmail |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1639895006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 PENMAR AVE APT 1",
"city": "VENICE",
"state": "CA",
"postal_code": "902912968",
"telephone_number": "818-579-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 14TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904044605",
"telephone_number": "310-344-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMISANO",
"first_name": "CAYLEE",
"middle_name": "GRAY",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "17291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPE LICENSE",
"identifier": "17291",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Gmail",
"affiliation": "N",
"address_1": "1932 14th St",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904044605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Monica, CA
- Angela Pallesi, M.D.
- Palm Drive Emergency Physicians Medical Group Inc
- Kathleen Marie Palma, LMFT
- Brittin Shalom Palmer, LMFT, LPCC
- Sienna Palmer, D.D.S.
- Pamela H Paige, LCSW
- Pan-Sifer Communications Services Network, Inc.
- Jonathan Panarello, APRN
- David Joseph Panek, MD
- Michelle Tricia Panlilio, MSN, RNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.