Organization Active NPI

Outshine Speech Therapy

  • Speech-Language Pathologist
  • Carlsbad, CA
National Provider Identifier
1467938647
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Sep 28, 2018

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.