Individual provider Active NPI

Devon Shinn

  • Speech-Language Pathologist
  • Seal Beach, CA
National Provider Identifier
1902689722
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35607 Issued in CA
Practice address
13001 Seal Beach Blvd
Seal Beach, CA 90740-2753
Phone
(949) 551-3860
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 35607 CA Primary

Addresses

Primary practice location

13001 Seal Beach Blvd
Seal Beach, CA 90740-2753

Mailing address

6892 Vista del Sol Dr
Huntington Beach, CA 92647-6654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927001536 CA Practitioner - Qualified Speech Language Pathologist 9638523475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Balance Solution Institute of Physiotherapy IncGroup PAC ID 2062427305, 29 clinicians

Practice addresses (Care Compare)

13001 Seal Beach Blvd
Suite 100
Seal Beach, CA 90740-2753
Phone (949) 340-6927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Balance Solution Institute of Physiotherapy Inc CurrentSince Aug 14, 2023 Accepting new patients
PNP Associates Past Accepting new patients

Locations

18 Endeavor
Ste 105
Irvine, CA 92618
Phone (949) 340-6927

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

23141 Moulton Pkwy
Ste 111
Laguna Hills, CA 92653
Phone (949) 340-6927

13001 Seal Beach Blvd
Ste 100
Seal Beach, CA 90740
Phone (310) 799-6666

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1902689722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6892 VISTA DEL SOL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SEAL BEACH BLVD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402753",
            "telephone_number": "949-551-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "DEVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.