Active NPI
Rebecca Michele Guillen
- Speech-Language Pathologist
- Eureka, CA
National Provider Identifier
1891013074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17828
- Practice address
- 730 7TH St
Suite C
Eureka, CA 95501-1178 - Phone
- (707) 444-3008
- Fax
- (707) 444-8053
- NPI assigned
- May 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17828 | CA | Primary |
Addresses
Primary practice location
730 7TH St
Suite C
Eureka, CA 95501-1178
Mailing address
PO Box 1261
Eureka, CA 95502-1261
Phone (707) 444-3008
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1891013074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1261",
"city": "EUREKA",
"state": "CA",
"postal_code": "955021261",
"telephone_number": "707-444-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 7TH ST",
"address_2": "SUITE C",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011178",
"telephone_number": "707-444-3008",
"fax_number": "707-444-8053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEN",
"first_name": "REBECCA",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "17828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.