Active NPI
Nabila Emil Mettias, SLPA
- Speech-Language Assistant
- Lake Forest, CA
National Provider Identifier
1699538082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 8137
- Practice address
- 22722 Lambert Street
Suite 1711
Lake Forest, CA 92630 - Phone
- (949) 329-8161
- NPI assigned
- Jan 30, 2024
- 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 Assistant | 2355S0801X | 8137 | CA | Primary |
Addresses
Primary practice location
22722 Lambert Street
Suite 1711
Lake Forest, CA 92630
Mailing address
22722 Lambert St Ste 1711
Lake Forest, CA 92630-1618
Phone (949) 329-8161
Other names 1
- Miss Nabila Emil Khalil
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8137 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Speech Therapy Corp | Speech-Language Assistant | Current | Accepting new patients |
Locations
22722 Lambert St
Ste 1711
Lake Forest, CA 92630
Phone (949) 329-8161
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1699538082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22722 LAMBERT ST STE 1711",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301618",
"telephone_number": "949-329-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22722 LAMBERT STREET",
"address_2": "SUITE 1711",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "92630",
"telephone_number": "949-329-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METTIAS",
"first_name": "NABILA",
"middle_name": "EMIL",
"name_prefix": "Mrs.",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "8137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NABILA",
"last_name": "KHALIL",
"middle_name": "EMIL",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Forest, CA
- Marisol Mendoza
- Rachael Mary Meninno
- Alex Joseph Mersch, PT, DPT
- Meshia Azad D.D.S.
- Azin Meshkinpour, M.D., M.P.H.
- Micah Hamilton Chiropractic Inc. (South OC Chiropractic)
- Michaels & Vu OD a Professional Corporation (South County Eye Care Optometric Group)
- Michaels and Vu Op Apc
- Justin B Michaels, O.D
- Mika Diagnostic Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.