Individual provider Active NPI

Nabila Emil Mettias, SLPA

  • Speech-Language Assistant
  • Lake Forest, CA
National Provider Identifier
1699538082
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
8137 Issued in CA
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

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
8137CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Speech Therapy Corp Speech-Language Assistant CurrentSince Feb 4, 2024 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

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.

Verify at the official NPI Registry.