Individual provider Active NPI

Romina Zandieh, SLP

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1790092955
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117820 Issued in TX
Practice address
5926 W Parker Rd Ste 500
Plano, TX 75093-6420
Phone
(972) 728-0443
NPI assigned
Sep 9, 2010
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1184084 NY
Speech-Language Pathologist 235Z00000X 117820 TX Primary

Addresses

Primary practice location

5926 W Parker Rd Ste 500
Plano, TX 75093-6420

Mailing address

4629 Home PL
Plano, TX 75024-2418
Phone (917) 574-2118

Other practice location 1

10 Bouck Ct
Brooklyn, NY 11223-5937
Phone (917) 574-2118

Other names 1

  • Ms. Romina Shamshiri 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1184084NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treehouse CurrentSince Oct 9, 2022 Accepting new patients

Locations

5926 W Parker Rd
Ste 500
Plano, TX 75093
Phone (972) 728-0443

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1790092955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 HOME PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242418",
            "telephone_number": "917-574-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 W PARKER RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936420",
            "telephone_number": "972-728-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Bouck Ct",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112235937",
            "country_code": "US",
            "telephone_number": "917-574-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANDIEH",
        "first_name": "ROMINA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1184084",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMINA",
            "last_name": "SHAMSHIRI",
            "prefix": "MS.",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.