Individual provider Active NPI

Kayla Shaffner, MS, SLP-CCC

  • Speech-Language Pathologist
  • Chico, CA
National Provider Identifier
1871051276
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26649 Issued in CA
Practice address
60 Declaration Dr Ste D
Chico, CA 95973-4920
Phone
(530) 961-6090
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 26649 CA Primary

Addresses

Primary practice location

60 Declaration Dr Ste D
Chico, CA 95973-4920

Mailing address

60 Declaration Dr Ste D
Chico, CA 95973-4920
Phone (530) 961-6090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403002742 CA Practitioner - Qualified Speech Language Pathologist 9830612696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Speech Therapy Inc CurrentSince Mar 13, 2025 Accepting new patients

Locations

60 Declaration Dr
Ste D
Chico, CA 95973
Phone (530) 961-6090

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1871051276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DECLARATION DR STE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734920",
            "telephone_number": "530-961-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DECLARATION DR STE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734920",
            "telephone_number": "530-961-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFNER",
        "first_name": "KAYLA",
        "credential": "MS, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.