Active NPI
Shawn D Christensen, CCC-SLP
- Speech-Language Pathologist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP8048
- Practice address
- 1930 E Southern Ave
Tempe, AZ 85282-7518 - Phone
- (480) 456-0719
- Fax
- (480) 456-0163
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP8048 | AZ | Primary |
Addresses
Primary practice location
1930 E Southern Ave
Tempe, AZ 85282-7518
Mailing address
1930 E Southern Ave
Tempe, AZ 85282-7518
Phone (480) 456-0719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751587 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Pioneer Pet, LLC | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
280 N Main St
N Salt Lake, UT 84010
Phone (801) 270-4400
527 W 400 N
Orem, UT 84057
Phone (801) 221-0281
3741 W 12600 S
Ste 100
Riverton, UT 84065
Phone (801) 285-3400
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020
Organizations & group practices 6
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.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
dba Cedar City Hospital Physicians
- Multi-Specialty Clinic/Center
- Cedar City, UT
- NPI 1689684110
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
-
- Adolescent and Children Mental Health Clinic/Center
- Salt Lake City, UT
- NPI 1194840157
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1457605362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827518",
"telephone_number": "480-456-0719",
"fax_number": "480-456-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827518",
"telephone_number": "480-456-0719",
"fax_number": "480-456-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "SHAWN",
"middle_name": "D",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-30",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP8048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "751587",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.