Kira Anne Stasyshan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP16772 Issued in CA

Practice address

937 3Rd St Apt 206
Santa Monica, CA 90403-2517

Phone

(404) 702-6645

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1760658090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 3RD ST APT 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032517",
            "telephone_number": "404-702-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 3RD ST APT 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032517",
            "telephone_number": "404-702-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASYSHAN",
        "first_name": "KIRA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16772",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Patricia Starks, MA, RC
• Starr Child Foundation
• Starrchild Foundation
• Start Now Health, Inc.
• Start Up Wellness, Inc.
• Rebecca Staton, PH.D.
• Alexandra Stavrakis, MD
• Steele Physical Therapy Inc
• Megan Steele
• Roland Steele, L.AC.

• Speech-Language Pathologist in Santa Monica, CA
• Providers in Santa Monica, 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 May 6, 2008; 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.