Active NPI
Dana Kirsten McSpaden, M.S.,CCC-SLP/AUD.
- Audiologist
- Salem, OR
National Provider Identifier
1689864258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30848
- Practice address
- 220 Judson St S
Salem, OR 97302-5309 - Phone
- (503) 569-4584
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 30848 | OR | Primary |
| Speech-Language Pathologist | 235Z00000X | 30848 | OR |
Addresses
Primary practice location
220 Judson St S
Salem, OR 97302-5309
Mailing address
220 Judson St S
Salem, OR 97302-5309
Phone (503) 569-4584
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30848 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1689864258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 JUDSON ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973025309",
"telephone_number": "503-569-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 JUDSON ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973025309",
"telephone_number": "503-569-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSPADEN",
"first_name": "DANA",
"middle_name": "KIRSTEN",
"name_prefix": "Ms.",
"credential": "M.S.,CCC-SLP/AUD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "30848",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "30848",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.