Active NPI
Hailey Amber Skiba, M.A.
- Speech-Language Pathologist
- Montebello, CA
National Provider Identifier
1841733060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30894
- Practice address
- 273 E Beverly Blvd
Montebello, CA 90640-3775 - Phone
- (323) 724-5100
- NPI assigned
- Nov 19, 2016
- Last updated
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | LL60869951 | WA | |
| Speech-Language Pathologist | 235Z00000X | 30894 | CA | Primary |
Addresses
Primary practice location
273 E Beverly Blvd
Montebello, CA 90640-3775
Mailing address
8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone (507) 330-3212
Other practice location 1
1902 Mead Ave
Sheboygan, WI 53081-6140
Phone (920) 458-8333
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60869951 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1841733060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD STE 300",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194630",
"telephone_number": "507-330-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 E BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403775",
"telephone_number": "323-724-5100"
}
],
"practiceLocations": [
{
"address_1": "1902 Mead Ave",
"address_purpose": "LOCATION",
"city": "Sheboygan",
"state": "WI",
"postal_code": "530816140",
"country_code": "US",
"telephone_number": "920-458-8333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKIBA",
"first_name": "HAILEY",
"middle_name": "AMBER",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-19",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60869951",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "30894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.