Shauna Kisicki, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4751 Issued in AZ

Practice address

8500 E Jackrabbit Rd
Scottsdale, AZ 85250-6730

Phone

(480) 484-5073

NPI assigned

Aug 22, 2022

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Scottsdale Unified School District

  • Local Education Agency (LEA)
  • Scottsdale, AZ
  • NPI 1811320567
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1023737244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7561 E SWEETWATER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604706",
            "telephone_number": "480-484-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 E JACKRABBIT RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506730",
            "telephone_number": "480-484-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISICKI",
        "first_name": "SHAUNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Friedman Kirshner, LAC
• Kenneth Mark Kirsner, CRNA
• Tammy Marie Kirton, COTA/L
• Krisztina Kisfalvi, MD
• Patrick Kishi, MD
• Jennifer Lynne Kissner
• Jeff D Kitchen, P.T.
• Kristi D Kitchen, PTA
• Kristine L Kitchener
• Karen Denise Kitcheyan

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.