Damaris N Cisneros

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3265 Biddle Rd
Medford, OR 97504-4122

Phone

(541) 816-4747

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Rogue Pediatric Therapies, LLC

  • Speech-Language Pathologist
  • Medford, OR
  • NPI 1811388119

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1811522147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 BIDDLE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 BIDDLE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044122",
            "telephone_number": "541-816-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 US Highway 281 N Apt 1421",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587513",
            "country_code": "US",
            "telephone_number": "956-334-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "DAMARIS",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6345",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Eileen Church, FNP
• Todd Christopher Churchill, OTR/L
• Gregory King Churlik
• David Edmund Cink, M.D.
• Meaghan Cirlincione, MD
• Alyssa Cissney
• Magdalena Ciurlik, MD
• Jeremy Claassen, DDS
• Jonathan Michael Claassen, MD
• Jacqueline Rose Clair-Horn, O.D.

• Speech-Language Pathologist in Medford, OR
• Providers in Medford, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.