Sheena Waldron

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17750 Issued in OR

Practice address

1300 NE 16TH Ave
Portland, OR 97232-1467

Phone

(503) 288-6671

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Specialists Outpatient LLCGroup PAC ID 6507254497, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Specialists Outpatient, LLC

  dba AgeSTRONG Holladay Park Plaza

  • Clinic/Center
  • Milwaukie, OR
  • NPI 1952075962

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Rehab Specialists Outpatient, LLC

  dba AgeRight Therapy Hope Village

  • Clinic/Center
  • Canby, OR
  • NPI 1437019015

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1093428302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321467",
            "telephone_number": "503-288-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "SHEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Starr Waldrep, FNPC
• Alexandra Elizabeth Waldron, MD
• Ashley Lynn Waldron, MS-SLP
• Brent Waldron
• Emily Ann Waldron, MSW
• Jala Akilah Waleed, CADC II, QMHA
• Brittany Elizabeth Walenta
• Marie Jessica Waletich Flemming, PHARMD
• Walgreen Co (Walgreens #01082)
• Walgreen Co (Walgreens #15154)

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.