Individual provider Active NPI

Robin Lynn Van Buren, CCC-SLP

  • Speech-Language Pathologist
  • Santa Ana, CA
National Provider Identifier
1093953929
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 11954 Issued in CA
Practice address
2961 W Macarthur Blvd
127
Santa Ana, CA 92704-6913
Phone
(714) 241-8815
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 11954 CA Primary

Addresses

Primary practice location

2961 W Macarthur Blvd
127
Santa Ana, CA 92704-6913

Mailing address

3629 W Macarthur Blvd Ste 209
Santa Ana, CA 92704-6844
Phone (714) 241-8815

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

LicenseStateTypeSpecialty
SP 11954CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Communication Counseling Inc CurrentSince Sep 13, 2020 Accepting new patients
Creative Communication Counseling CurrentSince Sep 13, 2020 Accepting new patients

Locations

3629 W MacArthur Blvd
Ste 209
Santa Ana, CA 92704
Phone (714) 241-8815

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.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1093953929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 W MACARTHUR BLVD STE 209",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046844",
            "telephone_number": "714-241-8815",
            "fax_number": "714-551-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 W MACARTHUR BLVD",
            "address_2": "127",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046913",
            "telephone_number": "714-241-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 11954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.