Clayton Thomas Shirk I, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP8235 Issued in AZ

Practice address

2260 N Rosemont Blvd Ste 100
Tucson, AZ 85712-2137

Phone

(520) 232-2021

Fax

(520) 232-2553

NPI assigned

Mar 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Speech Therapy Group of Tucson PLLC

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1891030318
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1174864458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E BROADWAY BLVD STE 124-316",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195966",
            "telephone_number": "520-232-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 N ROSEMONT BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122137",
            "telephone_number": "520-232-2021",
            "fax_number": "520-232-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "CLAYTON",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796078",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Tucson",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tucson",
            "address_1": "2260 N Rosemont Blvd Ste 100",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857122137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Anne Renee Shipsey, FNP-C
• Kirsten Lynn Shipway, PA-C
• Ahmad Atal Shir, MD
• Shirzad Shir
• Farshad M Shirazi, M.D.
• Electine Namuye K Shirley, DNP-CPNP-PC
• Heather Ching-Ya Shirley, FNP-C
• Madrian A Shirley, RN
• Tara Fay Shirley, DPM
• Cara Shisler

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.