Active NPI
Christine Durbin
- Speech-Language Pathologist
- Novato, CA
National Provider Identifier
1457815896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7941
- Practice address
- 100 Rowland Way Ste 205
Novato, CA 94945-5041 - Phone
- (415) 492-4870
- NPI assigned
- Jan 30, 2019
- Last updated
- Jan 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7941 | CA | Primary |
Addresses
Primary practice location
100 Rowland Way Ste 205
Novato, CA 94945-5041
Mailing address
2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (415) 492-4870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7943 | Other | CA | CA SPEECH-LANGUAGE PATHOLOGY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7941 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1457815896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL FL 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203",
"telephone_number": "415-492-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROWLAND WAY STE 205",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455041",
"telephone_number": "415-492-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURBIN",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "7941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA SPEECH-LANGUAGE PATHOLOGY LICENSE",
"identifier": "7943",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.