Lakieta L Emanuel, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14263 Issued in CA

Practice address

16785 Bear Valley Rd
Suite 2
Hesperia, CA 92345-0825

Phone

(760) 948-0702

Fax

(866) 496-0434

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• High Desert Speech and Language Pathology Center, Inc.

  • Speech-Language Pathologist
  • Hesperia, CA
  • NPI 1912005307
  NPD (past) Authorized official

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1942442496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16785 BEAR VALLEY RD",
            "address_2": "SUITE 2",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923450825",
            "telephone_number": "760-948-0702",
            "fax_number": "866-496-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16785 BEAR VALLEY RD",
            "address_2": "SUITE 2",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923450825",
            "telephone_number": "760-948-0702",
            "fax_number": "866-496-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "LAKIETA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA SPEECH-LANGUAGE PATHOLOGY BOARD",
            "identifier": "CA14263",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "12107027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimora Lanae Durham
• Ziad R El-Hajjaoui, M.D.
• Benedicto Elepano, DDS
• Allison Nicole Elliott
• Shannon Kathleen Elliott
• Cheryl Ann Emoto, M.D.
• Empire Congregate Living Health Facility
• Jose Enciso Jr.
• Cynthia Enriquez
• Kimberly Epps

• Speech-Language Pathologist in Hesperia, CA
• Providers in Hesperia, 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 Mar 17, 2011; 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.