Kelly Byrer

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA 3664 Issued in CA

Practice address

861 Harold PL
Suite 205
Chula Vista, CA 91914-4553

Phone

(619) 578-2232

Fax

(619) 578-2231

NPI assigned

Feb 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Addie'S Autism Fitt

  • Developmentally Disabled Services Day Training Agency
  • San Diego, CA
  • NPI 1992256804
  NPD (past)
• Addie'S Autismfitt Club

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1598124612
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1972963262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 MISSION CENTER CT",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081322",
            "telephone_number": "619-578-2232",
            "fax_number": "619-578-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HAROLD PL",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144553",
            "telephone_number": "619-578-2232",
            "fax_number": "619-578-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRER",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA 3664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDIE'S AUTISM FITT CLUB",
            "identifier": "330965547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Bustillos
• Judith Bustos
• Chelsea Butler
• Kayla Butler
• Tabitha Noelle Butterfield I
• C Pham & S Mauseth Dental Corporation
• C3 Marriage and Family Therapy, Inc.
• Ca Hearing LLC
• Arlene Cabading-Cruz, RN
• Julie A Cabading

• Speech-Language Assistant in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.