Tayne A Christiansen, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL017703 Issued in PA

Practice address

275 Shomont Dr
Harborcreek, PA 16421-1228

Phone

(814) 602-0436

Fax

(814) 520-5352

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Erie, PA
  • NPI 1982971503
  Medicare reassignment NPD
• Hooks Ei Services, Inc.

  • Early Intervention Provider Agency
  • Harborcreek, PA
  • NPI 1477002202

  Speech-Language Pathologist

  NPD
• Shriners Hospitals for Children

  dba Shriners Children's

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1275271462
  NPD
• Shriners Hospitals for Children

  dba Shriners Children's Hawaii

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1205677119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SHOMONT DR",
            "city": "HARBORCREEK",
            "state": "PA",
            "postal_code": "164211228",
            "telephone_number": "814-602-0436",
            "fax_number": "814-520-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SHOMONT DR",
            "city": "HARBORCREEK",
            "state": "PA",
            "postal_code": "164211228",
            "telephone_number": "814-602-0436",
            "fax_number": "814-520-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "TAYNE",
        "middle_name": "A",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordatra Barkley, HHP, RH
• Katie E Bartels, MA, CCC/SLP
• Paul Eugene Bowers, O.D.
• Community Health Net
• Sharon Lyn Dressler
• East Erie County Emergency Medical Services Corporation
• Stacey Kathleen Finazzo, RPH
• Mina Hake

• Speech-Language Pathologist in Harborcreek, PA
• Providers in Harborcreek, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.