Active NPI
Rekha Rishi-Khanna, CCC-SLP
- Speech-Language Pathologist
- Modesto, CA
National Provider Identifier
1851565329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9836
- Practice address
- 2605 Coffee Rd Ste 100
Modesto, CA 95355-2064 - Phone
- (209) 996-8089
- NPI assigned
- Apr 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 9836 | CA | Primary |
Addresses
Primary practice location
2605 Coffee Rd Ste 100
Modesto, CA 95355-2064
Mailing address
2605 Coffee Rd Ste 100
Modesto, CA 95355-2064
Phone (209) 996-8089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141223000007 | CA | Practitioner - Qualified Speech Language Pathologist | 5193048239 | Practice locations: Modesto, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9836 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 32681 | CA | MD | Chiropractor |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1851565329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 COFFEE RD STE 100",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552064",
"telephone_number": "209-996-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 COFFEE RD STE 100",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552064",
"telephone_number": "209-996-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISHI-KHANNA",
"first_name": "REKHA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2024-07-21",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "9836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.