Christy Melissa Shores, M.S.-CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16177 Issued in CA

Practice address

11590 W Bernardo CT Ste 100
San Diego, CA 92127-1624

Phone

(858) 229-8575

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christy Melissa Johnsin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1780833632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "858-229-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "858-229-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "CHRISTY",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "M.S.-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "JOHNSIN",
            "middle_name": "MELISSA",
            "credential": "M.S.-CCC, SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Shore, MA, MFT
• Tawnia Kristen Shore
• Zachary Shore, O.D.
• Shoreline Companies, LLC (South Bay Ambulance San Diego)
• Shoreline Recovery Center, LLC
• Gregory Glen Shorey, MPT, OCS
• Sharon Ann Shorey, OTR
• Abiade Christopher Short, M.D.
• Howard Michael Short, DC
• Julia Lynn Short, PT

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.