Individual provider Active NPI

Christine Gissele Rubio

  • Speech-Language Pathologist
  • Woodland, CA
National Provider Identifier
1134812563
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18954 Issued in CA
Practice address
1321 College St Ste E
Woodland, CA 95695-4706
Phone
(530) 668-1010
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X 18954 CA Primary

Addresses

Primary practice location

1321 College St Ste E
Woodland, CA 95695-4706

Mailing address

7737 College Town Dr Apt 28
Sacramento, CA 95826-2318
Phone (323) 629-6124

Other practice location 1

11344 Coloma Rd Ste 570
Gold River, CA 95670-6304
Phone (916) 676-0488

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

LicenseStateTypeSpecialty
18954CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1134812563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 COLLEGE TOWN DR APT 28",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262318",
            "telephone_number": "323-629-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLLEGE ST STE E",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954706",
            "telephone_number": "530-668-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11344 Coloma Rd Ste 570",
            "address_purpose": "LOCATION",
            "city": "Gold River",
            "state": "CA",
            "postal_code": "956706304",
            "country_code": "US",
            "telephone_number": "916-676-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "CHRISTINE",
        "middle_name": "GISSELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.