NPIMap

Individual provider Active NPI

Meyyammai Muthu, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Foster City, CA
National Provider Identifier
1730751207
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
RPE14907 Issued in CA
Practice address
55 Triton Park LN Unit 516
Foster City, CA 94404-1389
Phone
(508) 685-8738
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X RPE14907 CA Primary

Addresses

Primary practice location

55 Triton Park LN Unit 516
Foster City, CA 94404-1389

Mailing address

55 Triton Park LN Unit 516
Foster City, CA 94404-1389
Phone (508) 685-8738

Other identifiers 1

IdentifierTypeStateIssuer
14309485OtherASHA ACCOUNT NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmuthu@hellobrightline.com Direct Brightline Medical Associates, Inc.

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

LicenseStateTypeSpecialty
RPE14907CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackbird Clinical Services Past Accepting new patients
Children'S Integrated Center for Success Past Accepting new patients

Organizations & group practices 2

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1730751207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TRITON PARK LN UNIT 516",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041389",
            "telephone_number": "508-685-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TRITON PARK LN UNIT 516",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041389",
            "telephone_number": "508-685-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHU",
        "first_name": "MEYYAMMAI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE14907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA ACCOUNT NUMBER",
            "identifier": "14309485",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmuthu@hellobrightline.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Brightline Medical Associates, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging address",
            "address_1": "55 Triton Park Ln Unit 516",
            "city": "Foster City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944041389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.