Active NPI
Outshine Speech Therapy
- Speech-Language Pathologist
- Carlsbad, CA
National Provider Identifier
1467938647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- OUTSHINE SPEECH THERAPY
- Practice address
- 2647 Gateway Road Suit # 105
Carlsbad, CA 92009 - Phone
- (760) 410-8487
- NPI assigned
- Jul 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shabnam Moeini, SPEECH THERAPIST
- Title
- Program Coordinator
- Phone
- (760) 410-8487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2647 Gateway Road Suit # 105
Carlsbad, CA 92009
Mailing address
2647 Gateway Rd Ste 105
Carlsbad, CA 92009-1757
Phone (760) 410-8487
Other practice location 1
2647 Gateway Rd Ste 105
Carlsbad, CA 92009
Other practice location 2
2684 Bressi Ranch Way
Carlsbad, CA 92009
Phone (858) 205-7280
National Provider Directory
National Provider DirectoryLocations
2647 Gateway Rd
Ste 105
Carlsbad, CA 92009
Phone (760) 410-8487
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Carlsbad, CA
- NPI 1932575354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538092800000",
"number": "1467938647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 GATEWAY RD STE 105",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920091757",
"telephone_number": "760-410-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 GATEWAY ROAD SUIT # 105",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92009",
"telephone_number": "760-410-8487"
}
],
"practiceLocations": [
{
"address_1": "2647 Gateway Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "92009",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2684 Bressi Ranch Way",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "92009",
"country_code": "US",
"telephone_number": "858-205-7280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OUTSHINE SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2018-09-28",
"status": "A",
"authorized_official_last_name": "MOEINI",
"authorized_official_first_name": "SHABNAM",
"authorized_official_title_or_position": "PROGRAM COORDINATOR",
"authorized_official_telephone_number": "760-410-8487",
"authorized_official_credential": "SPEECH THERAPIST"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
- Parisa Ostovari, PTA
- Kari Jean Otto, CD(DONA)
- Outpatient Behavioral Health Services of Arizona, P.C.
- Outpatient Behavioral Health Services of Iowa, P.C.
- Outpatient Behavioral Health Services of Wisconsin, S.C.
- Forrest Micah Overin, LMFT
- Ruby Faith Overton, PTA
- Tabatha M Owens Addison
- Kalena Joann Ozdaglar, UNCERTIFIED BT
- Beyzanur Ozdemir
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.