Active NPI
Shauna Michelle Gorman
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1801926985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- NONE
- Practice address
- 10810 N Tatum Blvd
Suite 102-185
Phoenix, AZ 85028-6055 - Phone
- (602) 326-2619
- Fax
- (602) 297-6727
- NPI assigned
- Mar 6, 2007
- 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 Assistant | 2355S0801X | NONE | AZ | Primary |
Addresses
Primary practice location
10810 N Tatum Blvd
Suite 102-185
Phoenix, AZ 85028-6055
Mailing address
1031 E Westchester Dr
Tempe, AZ 85283-3038
Phone (480) 862-9420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLPA6317 | Other | AZ | DEPT OF HEALTH SERVICES LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1801926985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 E WESTCHESTER DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833038",
"telephone_number": "480-862-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 N TATUM BLVD",
"address_2": "SUITE 102-185",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286055",
"telephone_number": "602-326-2619",
"fax_number": "602-297-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "SHAUNA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "NONE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH SERVICES LICENSE",
"identifier": "SLPA6317",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.