Active NPI
Christina Staubitz, MS, CCC-SLP
- Speech-Language Pathologist
- Evansville, IN
National Provider Identifier
1780137083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22006734A
- Practice address
- 4900 Shamrock Dr
Ste 100-102
Evansville, IN 47715-7328 - Phone
- (812) 479-7337
- Fax
- (812) 550-1990
- NPI assigned
- Aug 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22006734A | IN | Primary |
Addresses
Primary practice location
4900 Shamrock Dr
Ste 100-102
Evansville, IN 47715-7328
Mailing address
4900 Shamrock Dr
Ste 100-102
Evansville, IN 47715-7328
Phone (812) 479-7337
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006734A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1780137083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 SHAMROCK DR",
"address_2": "STE 100-102",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157328",
"telephone_number": "812-479-7337",
"fax_number": "812-550-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SHAMROCK DR",
"address_2": "STE 100-102",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157328",
"telephone_number": "812-479-7337",
"fax_number": "812-550-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUBITZ",
"first_name": "CHRISTINA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006734A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.