Katie Elizabeth Buckley, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

26081 Merit Cir Ste 107
Laguna Hills, CA 92653-7017

Phone

(949) 367-0310

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beach Kids Therapy Center, Inc.

  • Pediatric Occupational Therapist
  • San Clemente, CA
  • NPI 1760658074

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1770013476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24821 STRATTON LN",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772157",
            "telephone_number": "19492809034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 MERIT CIR STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537017",
            "telephone_number": "949-367-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Vo, MD, Inc
• Carrie Van Wye Bryson
• BTT Enterprises
• Nancy Bucciarelli, M.D.
• John Kyle Buchanan, PT
• Anhthu Ngoc Bui, RRA/RPA
• Anthony Bui
• Denny Minh Bui
• Don T. Bui, M.D.
• Michael Bui, FNP

• Speech-Language Pathologist in Laguna Hills, CA
• Providers in Laguna Hills, 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 Jun 14, 2017; 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.