Active NPI
Kayla Nicole Goehring, CF-SLP
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1780150227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14277
- Practice address
- 8755 Aero Dr Ste 100
San Diego, CA 92123-1750 - Phone
- (619) 578-2231
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 14277 | CA | Primary |
Addresses
Primary practice location
8755 Aero Dr Ste 100
San Diego, CA 92123-1750
Mailing address
7688 Salix PL
San Diego, CA 92129-3772
Phone (858) 603-2257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14277 | Other | CA | CA LICENSE NUMVER |
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 |
|---|---|---|---|
| 14277 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addie'S Autism Fitt | Past | Accepting new patients | |
| Addie'S Autismfitt Club | Speech-Language Pathologist | 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.
-
- Developmentally Disabled Services Day Training Agency
- San Diego, CA
- NPI 1992256804
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1598124612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1780150227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7688 SALIX PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293772",
"telephone_number": "858-603-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8755 AERO DR STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231750",
"telephone_number": "619-578-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEHRING",
"first_name": "KAYLA",
"middle_name": "NICOLE",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE NUMVER",
"identifier": "14277",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.