Active NPI
Christine Espinoza
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1649651399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6014
- Practice address
- 2301 Yale Blvd SE
Suite A3
Albuquerque, NM 87106-4228 - Phone
- (505) 385-8028
- NPI assigned
- Jun 17, 2015
- Last updated
- Mar 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 6014 | NM | Primary |
Addresses
Primary practice location
2301 Yale Blvd SE
Suite A3
Albuquerque, NM 87106-4228
Mailing address
9005 Sand Sage PL SE
Albuquerque, NM 87116-1162
Phone (210) 863-9308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407732 | Medicaid | NM |
Other names 1
- Christine Gagne
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 |
|---|---|---|---|
| 6014 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Climbing Tree Therapy | Past | Accepting new patients | |
| Climbing Tree Therapy, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Albuquerque, NM
- NPI 1386005734
-
dba Climbing Tree Alaska
- Occupational Therapist
- Albuquerque, NM
- NPI 1669787446
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1649651399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9005 SAND SAGE PL SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871161162",
"telephone_number": "210-863-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE",
"address_2": "SUITE A3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064228",
"telephone_number": "505-385-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOZA",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "6014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407732",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "GAGNE",
"credential": "MA,CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.