Individual provider Active NPI

Candi Epperson, M.S., SLP

  • Speech-Language Pathologist
  • San Bernardino, CA
National Provider Identifier
1891099180
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11270 Issued in CA
Practice address
103 N Plymouth Way
San Bernardino, CA 92408-4119
Phone
(909) 370-4302
NPI assigned
Dec 31, 2010
Last updated
Dec 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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 11270 CA Primary

Addresses

Primary practice location

103 N Plymouth Way
San Bernardino, CA 92408-4119

Mailing address

103 N Plymouth Way
San Bernardino, CA 92408-4119
Phone (909) 370-4302

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
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293753600000",
    "number": "1891099180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N PLYMOUTH WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084119",
            "telephone_number": "909-370-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N PLYMOUTH WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084119",
            "telephone_number": "909-370-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "CANDI",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.