Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487547444 Individual Practitioner Female Practitioner

Kellie Nicole Diaz

Speech-Language Pathologist • Moreno Valley, CA

Professional Overview & Biography Verified Profile Summary

Kellie Diaz is a registered healthcare professional specializing in Speech-Language Pathologist in Moreno Valley, CA. Practice services are available at 11160 NIGHT SHADOW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11160 Night Shadow Dr

Moreno Valley, CA 925556548

Telephone 9517967184
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Moreno Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Moreno Valley, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 27390

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 29, 2025

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2025

Registered at 11160 NIGHT SHADOW DR, MORENO VALLEY, CA 925556548 (Tel: 9517967184)

📍
Updated Business Mailing Address May 29, 2025

Registered at 11160 NIGHT SHADOW DR, MORENO VALLEY, CA 925556548

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Provider Name / Credentials Updated May 29, 2025

Recorded as KELLIE DIAZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2025

Speech-Language Pathologist (License #27390 in CA)

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Initial NPI Registration & Enumeration May 29, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487547444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2025
Last Update: May 29, 2025
Sole Proprietor: No

Mailing Address

11160 Night Shadow Dr

Moreno Valley, CA 925556548

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.