Kristina Lee Shanks, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002130 Issued in IA

Practice address

2850 Westown Pkwy
West Des Moines, IA 50266

Phone

(515) 224-5225

Fax

(515) 224-5235

NPI assigned

Aug 22, 2007

Last updated

May 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD (past)
• Yakima Valley Hearing and Speech Center

  dba Hearing and Speech Center

  • Audiologist-Hearing Aid Fitter
  • Yakima, WA
  • NPI 1134176746

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1821281841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661301",
            "telephone_number": "515-224-5225",
            "fax_number": "515-224-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-224-5225",
            "fax_number": "515-224-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023112",
            "country_code": "US",
            "telephone_number": "509-453-8248",
            "fax_number": "509-248-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "KRISTINA",
        "middle_name": "LEE",
        "credential": "M.S.  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004534",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "002130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finley Sesker, D.C.
• Luke Sesker, D.C.
• Mary Deborah Sesker, DC
• Saima Shahid, MD
• Dan Shamir, MD
• Sharpe Family Dentistry, P. C.
• Christopher Sharpe, LCSW, LISW
• Jeffrey L. Sharpe, D. D. S.
• Nicholas Shaw, DDS
• Rebecca D Shaw, MD

• Speech-Language Pathologist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.