Individual provider Active NPI

Christina Chumard, CCC-SLP

  • Speech-Language Pathologist
  • Albany, OR
National Provider Identifier
1154778009
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016384 Issued in OR
Practice address
2196 21St Ave SE
Albany, OR 97322-5445
Phone
(541) 967-4500
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 016384 OR Primary

Addresses

Primary practice location

2196 21St Ave SE
Albany, OR 97322-5445

Mailing address

718 7TH Ave SW
Albany, OR 97321-2320
Phone (541) 967-4518

Other practice location 1

32100 Old Oak Dr
Tangent, OR 97389-9792
Phone (541) 967-4616

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
016384ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1154778009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 7TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212320",
            "telephone_number": "541-967-4518",
            "fax_number": "541-924-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 21ST AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225445",
            "telephone_number": "541-967-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32100 Old Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Tangent",
            "state": "OR",
            "postal_code": "973899792",
            "country_code": "US",
            "telephone_number": "541-967-4616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUMARD",
        "first_name": "CHRISTINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.