Active NPI
Shana Renee Tognazzini, MA CCC-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1366733891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13362
- Practice address
- 700 NE Multnomah St Ste 870
Portland, OR 97232-4112 - Phone
- (503) 238-5559
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13362 | OR | Primary |
| Speech-Language Pathologist | 235Z00000X | LL 60315236 | WA |
Addresses
Primary practice location
700 NE Multnomah St Ste 870
Portland, OR 97232-4112
Mailing address
700 NE Multnomah St Ste 870
Portland, OR 97232-4112
Phone (503) 238-5559
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12137945 | Other | OR | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
| 13362 | Other | OR | BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY |
| LL 60315236 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13362 | OR | MD | Massage Therapist |
| LL 60315236 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1366733891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE MULTNOMAH ST STE 870",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972324112",
"telephone_number": "503-238-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE MULTNOMAH ST STE 870",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972324112",
"telephone_number": "503-238-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOGNAZZINI",
"first_name": "SHANA",
"middle_name": "RENEE",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13362",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL 60315236",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12137945",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY",
"identifier": "13362",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "LL 60315236",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.