Individual provider Active NPI

Cynthia Christmann, SLP

  • Speech-Language Pathologist
  • East Stroudsburg, PA
National Provider Identifier
1780967489
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006095L Issued in PA
Practice address
204 Eagle Valley Mall
East Stroudsburg, PA 18301-1315
Phone
(570) 424-1706
Fax
(570) 424-6711
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL006095L PA Primary

Addresses

Primary practice location

204 Eagle Valley Mall
East Stroudsburg, PA 18301-1315

Mailing address

175 Fern Dr
Canadensis, PA 18325-7713
Phone (570) 595-7228

Other identifiers 1

IdentifierTypeStateIssuer
394532OtherPAMEDICARE

Other names 1

  • Cynthia Paulus Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1780967489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FERN DR",
            "city": "CANADENSIS",
            "state": "PA",
            "postal_code": "183257713",
            "telephone_number": "570-595-7228",
            "fax_number": "570-595-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EAGLE VALLEY MALL",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011315",
            "telephone_number": "570-424-1706",
            "fax_number": "570-424-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMANN",
        "first_name": "CYNTHIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006095L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "394532",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "PAULUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.