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Shannon Stephanie Kyle

Physician β€’ Chico, CA

Active NPI 1740913169 Individual Practitioner Female Practitioner
Practice location in NPPES

120 Amber Grove Dr Ste 122
Chico, CA 959735878

Call 5307742261 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

120 Amber Grove Dr Ste 122

Chico, CA 959735878

Telephone 5307742261
Organization at the Same NPPES Address or Phone
Advantage Speech Therapy Inc Facility NPI 1164166963

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-12
Clinic/Center - Hearing and Speech Primary Specialty

NUCC Taxonomy Code: 261QH0700X

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Yesenia Gonzalez

Speech-Language Pathologist

NPI 1821700469
Dr. Rylan Willis , PT, DPT

Physical Therapist

NPI 1669048021

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated October 18, 2022

Recorded as SHANNON KYLE

βœ…
NPI Profile Active July 04, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 04, 2022

Registered at 120 AMBER GROVE DR STE 122, CHICO, CA 959735878 (Tel: 5307742261)

πŸ“
Business Mailing Address (Initial Record) July 04, 2022

Registered at 120 AMBER GROVE DR STE 122, CHICO, CA 959735878 (Tel: 5307742261)

πŸ‘€
Provider Name / Credentials (Initial Record) July 04, 2022

Recorded as SHANNON MILLIKEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2022

Clinic/Center

🟒
Initial NPI Registration & Enumeration July 04, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740913169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2022
Last Update: October 18, 2022
Sole Proprietor: Yes

Mailing Address

120 Amber Grove Dr Ste 122

Chico, CA 959735878

Phone: 5307742261

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.