Active NPI
Steven Schienberg
- Speech-Language Pathologist
- Vancouver, WA
National Provider Identifier
1114276185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10682
- Practice address
- 5212 NW Lincoln Ave
Vancouver, WA 98663-1538 - Phone
- (541) 977-5727
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 19786 | CA | |
| Speech-Language Pathologist | 235Z00000X | LL 60132469 | WA | |
| Speech-Language Pathologist | 235Z00000X | 10682 | OR | Primary |
Addresses
Primary practice location
5212 NW Lincoln Ave
Vancouver, WA 98663-1538
Mailing address
5212 NW Lincoln Ave
Vancouver, WA 98663-1538
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP 19786 | Other | CA | STATE LICENSE |
| 10682 | Other | OR | STATE LICENSE |
| LL 60132469 | Other | WA | STATE CERTIFICATION |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 19786 | CA | MD | Speech-Language Pathologist |
| 10682 | OR | MD | Speech-Language Pathologist |
| LL 60132469 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1114276185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 NW LINCOLN AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986631538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 NW LINCOLN AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986631538",
"telephone_number": "541-977-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIENBERG",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 19786",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL 60132469",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "10682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SP 19786",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "10682",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CERTIFICATION",
"identifier": "LL 60132469",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.