Vickie Koehly, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

718 Concepcion Ave
Spring Valley, CA 91977-5003

Phone

(619) 607-8915

NPI assigned

May 12, 2022

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

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1790422681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CONCEPCION AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775003",
            "telephone_number": "619-607-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CONCEPCION AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775003",
            "telephone_number": "619-607-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLY",
        "first_name": "VICKIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Khan, PMHNP
• Cheryll Ann Kidd, RDH, RDHAP
• Joanna Lena Kientz
• Glenn King III
• Robert Kluge, DDS
• Laura Kohout, P.T.
• Diana Kopado
• Jade Ngoc Lam
• Brianna Lammatao
• Michelle Landeros

• Speech-Language Pathologist in Spring Valley, CA
• Providers in Spring Valley, 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 12, 2022; 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.