Alicia Baatrup

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

33776 Issued in CA

Practice address

6126 Ashwell Way
Vallejo, CA 94591-3828

Phone

(760) 288-5374

NPI assigned

Nov 18, 2022

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

Electronic endpoints 1

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1699484584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 ASHWELL WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913828",
            "telephone_number": "707-640-1463",
            "fax_number": "707-615-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 ASHWELL WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913828",
            "telephone_number": "760-288-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAATRUP",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alicia@otspeech.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6126 Ashwell Way",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945913828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emmanuel Ayawvi
• Sabah Ayubyar
• Susan Ayyad
• Diana Azeltine, REGISTERED NURSE
• Caitlin Elise Azemar, MS, DO
• Diana Babayan, O.D.
• Monica Babbel
• Melanie Fernandez Baccay
• Thanh Bach, PT, DPT
• Nicole Bachman

• Speech-Language Pathologist in Vallejo, CA
• Providers in Vallejo, 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 Jan 5, 2023; 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.