Active NPI
Kathleen Agnes Clifton, MS CCC-SLP
- Speech-Language Pathologist
- Roseville, CA
National Provider Identifier
1679720601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP8713
- Practice address
- 2530 Douglas Blvd Ste 130
Roseville, CA 95661-3990 - Phone
- (916) 521-0575
- Fax
- (916) 723-9053
- NPI assigned
- Aug 21, 2008
- 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 | SP8713 | CA | Primary |
Addresses
Primary practice location
2530 Douglas Blvd Ste 130
Roseville, CA 95661-3990
Mailing address
PO Box 432
Citrus Heights, CA 95611
Phone (916) 521-0575
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP8713 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1679720601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95611",
"telephone_number": "916-521-0575",
"fax_number": "916-723-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 DOUGLAS BLVD STE 130",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613990",
"telephone_number": "916-521-0575",
"fax_number": "916-723-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "KATHLEEN",
"middle_name": "AGNES",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP8713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.