Active NPI
Reka T Kiss, MS CCC SLP
- Speech-Language Pathologist
- Burbank, CA
National Provider Identifier
1932447083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21943
- Practice address
- 716 E. Palm
Apt C
Burbank, CA 91501-3341 - Phone
- (207) 756-3557
- NPI assigned
- Jan 24, 2013
- 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 Assistant | 2355S0801X | SPA2100 | CA | |
| Speech-Language Pathologist | 235Z00000X | 21943 | CA | Primary |
Addresses
Primary practice location
716 E. Palm
Apt C
Burbank, CA 91501-3341
Mailing address
716 E. Palm
Apt C
Burbank, CA 91501-3341
Phone (207) 756-3557
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21943 | CA | MD | Clinical Social Worker |
| SPA2100 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1932447083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E. PALM",
"address_2": "APT C",
"city": "BURBANK",
"state": "CA",
"postal_code": "915013341",
"telephone_number": "207-756-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E. PALM",
"address_2": "APT C",
"city": "BURBANK",
"state": "CA",
"postal_code": "915013341",
"telephone_number": "207-756-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISS",
"first_name": "REKA",
"middle_name": "T",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA2100",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.