Individual provider Active NPI

Christina M Masimer, SLP

  • Speech-Language Pathologist
  • Montrose, CO
National Provider Identifier
1396207759
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0001852 Issued in CO
Practice address
611 E Star CT
Montrose, CO 81401-6704
Phone
(909) 213-5967
Fax
(509) 356-4607
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 SLP.0001852 CO Primary

Addresses

Primary practice location

611 E Star CT
Montrose, CO 81401-6704

Mailing address

2233 E Main St
Montrose, CO 81401-3831
Phone (970) 765-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001960 CO Practitioner - Qualified Speech Language Pathologist 9032448121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP.0001852COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist CurrentSince Apr 1, 2019 Accepting new patients
Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist CurrentSince Apr 1, 2019 Accepting new patients

Locations

104 S 1st St
Montrose, CO 81401
Phone (909) 213-5969

2233 E Main St
Montrose, CO 81401
Phone (970) 249-3700

611 East Star Ct
Montrose, CO 81401
Phone (970) 249-1646

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1396207759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-765-0818",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016704",
            "telephone_number": "909-213-5967",
            "fax_number": "509-356-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIMER",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.