Shasta Speech and Language Pathology Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHASTA SPEECH AND LANGUAGE PATHOLOGY INC.

Practice address

2208 Park Marina Dr
Redding, CA 96001-2111

Phone

(530) 244-0263

Fax

(530) 247-0688

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Shelby Casey, CCC-SLP

Title

Ceo

Phone

(530) 244-0263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan E Whitaker, M.A.

  • Speech-Language Pathologist
  • Redding, CA
  • NPI 1336113737
  Medicare reassignment Care Compare group NPD
• Shelby Lou Casey, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Redding, CA
  • NPI 1376112011
  Care Compare group NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1730867516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "SHASTA SPEECH AND LANGUAGE PATHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-244-0263",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Redding, CA
• Providers in Redding, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.