Individual provider Active NPI

Kaley Jo Schaumburg, M.S.

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1538353719
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP7645 Issued in AZ
Practice address
6000 S 7TH St
Phoenix, AZ 85042-4209
Phone
(602) 243-4800
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPL5261 AZ
Speech-Language Pathologist 235Z00000X TSLP7645 AZ Primary

Addresses

Primary practice location

6000 S 7TH St
Phoenix, AZ 85042-4209

Mailing address

6000 S 7TH St
Phoenix, AZ 85042-4209
Phone (602) 243-4800

Other identifiers 1

IdentifierTypeStateIssuer
166442MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205001411 AZ Practitioner - Qualified Speech Language Pathologist 6002249018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLPL5261AZMDSpeech-Language Pathologist
TSLP7645AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Therapy, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Theracare PLLC Speech-Language Pathologist CurrentSince Oct 15, 2019 Accepting new patients
Roosevelt School District Past Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

530 E McDowell Rd
Phoenix, AZ 85004
Phone (480) 326-7792

530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1538353719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424209",
            "telephone_number": "602-243-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424209",
            "telephone_number": "602-243-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUMBURG",
        "first_name": "KALEY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL5261",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166442",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.