Mishaun Kathleen Maclellan, M.S. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1090 Issued in NV

Practice address

895 Roberta LN
101A
Sparks, NV 89431-6802

Phone

(775) 825-4744

Fax

(775) 351-1644

NPI assigned

Aug 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Advanced Pediatric Therapies, LLC

  • Speech-Language Pathologist
  • Sparks, NV
  • NPI 1629148200
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1861683443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 ROBERTA LN",
            "address_2": "101A",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894316802",
            "telephone_number": "775-825-4744",
            "fax_number": "775-351-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 ROBERTA LN",
            "address_2": "101A",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894316802",
            "telephone_number": "775-825-4744",
            "fax_number": "775-351-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLELLAN",
        "first_name": "MISHAUN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Macahito, RN
• Catherine Lee Macintosh, CADC INTERN
• Mackenzie Macintyre III, OD
• Tatyanah Mackey
• Edward Mackie, RPH
• Brenda Madewell
• Steven Joel Madison, R.N.
• Nayeli Madrigal Camarena
• Heather N Madsen, PA-C
• Yahaira Natali Magana-Vizcaino, CADC-I

• Speech-Language Pathologist in Sparks, NV
• Providers in Sparks, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.