Active NPI
Susan E Whitaker Shasta Speech & Language
- Speech-Language Pathologist
- Redding, CA
National Provider Identifier
1568782985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3559
- Legal business name
- SUSAN E WHITAKER SHASTA SPEECH & LANGUAGE
- Practice address
- 2208 Park Marina Dr
Redding, CA 96001-2111 - Phone
- (530) 244-0263
- Fax
- (530) 247-0688
- NPI assigned
- Jun 8, 2010
- 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
- Susan E Whitaker, S.P.
- Title
- Owner
- Phone
- (530) 244-0263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP3559 | CA | Primary |
Addresses
Primary practice location
2208 Park Marina Dr
Redding, CA 96001-2111
Mailing address
PO Box 496084
Redding, CA 96049-6084
Phone (530) 244-0263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009-0001238 | Other | CA | FICTITITIOUS BUSINESS NAME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Redding, CA
- NPI 1336113737
-
- Speech-Language Pathologist
- Redding, CA
- NPI 1487886859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1568782985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 496084",
"city": "REDDING",
"state": "CA",
"postal_code": "960496084",
"telephone_number": "530-244-0263",
"fax_number": "530-247-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 PARK MARINA DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012111",
"telephone_number": "530-244-0263",
"fax_number": "530-247-0688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN E WHITAKER SHASTA SPEECH & LANGUAGE",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-08",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-244-0263",
"authorized_official_credential": "S.P."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP3559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FICTITITIOUS BUSINESS NAME",
"identifier": "2009-0001238",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.