Active NPI
Morgan Shuster
- Speech-Language Pathologist
- San Jose, CA
National Provider Identifier
1063053130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 33518
- Practice address
- 911 Bern CT Ste 140
San Jose, CA 95112-1242 - Phone
- (408) 573-7720
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 33518 | CA | Primary |
Addresses
Primary practice location
911 Bern CT Ste 140
San Jose, CA 95112-1242
Mailing address
911 Bern CT Ste 140
San Jose, CA 95112-1242
Phone (408) 573-7720
Other practice location 1
2224 E Cedar Ave Ste 1
Flagstaff, AZ 86004-1957
Phone (928) 779-1679
Other names 1
- Morgan Barnes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | morgan@pptot.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33518 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Play Therapy | Past | Accepting new patients | |
| Pediatric Play Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- San Jose, CA
- NPI 1568641520
-
- Pediatric Occupational Therapist
- San Jose, CA
- NPI 1730066960
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1063053130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 BERN CT STE 140",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121242",
"telephone_number": "408-573-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BERN CT STE 140",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121242",
"telephone_number": "408-573-7720"
}
],
"practiceLocations": [
{
"address_1": "2224 E Cedar Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860041957",
"country_code": "US",
"telephone_number": "928-779-1679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUSTER",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "33518",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "morgan@pptot.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "911 Bern Ct Ste 140",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951121242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "BARNES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.