Santa Rosa Speech & Language Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SANTA ROSA SPEECH & LANGUAGE SERVICES

Practice address

1212 College Ave
Suite a
Santa Rosa, CA 95404

Phone

(707) 542-1010

NPI assigned

May 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathryn Williams, CSCD, CCC-SLPNPI 1942559042

Title

Owner/SLP

Phone

(707) 542-1010

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Joanne Williams, CSCD, CCC-SLP

  • Speech-Language Pathologist
  • Santa Rosa, CA
  • NPI 1942559042
  NPD Authorized official
• John Mar Samples, PH.D. CCC-SLP

  • Speech-Language Pathologist
  • Santa Rosa, CA
  • NPI 1891086344
  NPD
• Jennifer Nevolo Alwood

  • Speech-Language Pathologist
  • Santa Rosa, CA
  • NPI 1982352605
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1891220554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 FARMERS LANE",
            "address_2": "#319",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-542-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-542-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA SPEECH & LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "707-542-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CSCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Rosa Orthopaedic Medical Group, Inc.
• Santa Rosa Orthopaedic Medical Group, Inc.
• Santa Rosa Orthopaedic Medical Group, Inc.
• Santa Rosa Physical Therapy
• Santa Rosa Postacute Care LLC
• Santa Rosa Speech & Language Services
• Santa Rosa Speech Therapy, PC
• Santa Rosa Sports Medicine, Incorporated
• Santa Rosa Surgery Center L P
• Santa Rosa Surgical Associates

• Speech-Language Pathologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.