Individual provider Active NPI

Natalia Rebecca Nuutinen

  • Speech-Language Pathologist
  • Pacific Grove, CA
National Provider Identifier
1801625975
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666
Phone
(831) 318-0558
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 Primary

Addresses

Primary practice location

667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666

Mailing address

667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002473 CA Practitioner - Qualified Speech Language Pathologist 5193256477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Aug 23, 2024 Accepting new patients

Locations

667 Lighthouse Ave
Ste 305
Pacific Grove, CA 93950
Phone (831) 318-0558

667 Lighthouse Ave
Ste 201
Pacific Grove, CA 93950
Phone (831) 204-0019

Organizations & group practices 1

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1801625975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 201",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 201",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502666",
            "telephone_number": "831-318-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUUTINEN",
        "first_name": "NATALIA",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.