Individual provider Active NPI

Cassandra Starkey, CCC/SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1952653826
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1680 Issued in NV
Practice address
3030 S Jones Blvd
Suite 105
Las Vegas, NV 89146-6792
Phone
(702) 360-1137
NPI assigned
Oct 2, 2012
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1680 NV Primary
Speech-Language Pathologist 235Z00000X SL010637 PA
Speech-Language Pathologist 235Z00000X SLP-1353 WV
Speech-Language Pathologist 235Z00000X 108366 TX
Speech-Language Pathologist 235Z00000X SLP8145 AZ

Addresses

Primary practice location

3030 S Jones Blvd
Suite 105
Las Vegas, NV 89146-6792

Mailing address

3030 S Jones Blvd
Suite 105
Las Vegas, NV 89146-6792
Phone (702) 360-1137

Other identifiers 1

IdentifierTypeStateIssuer
844519MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727004346 FL Practitioner - Qualified Speech Language Pathologist 4880076512 Reassigns benefits to 1 organization
I20221206001968 CA Practitioner - Qualified Speech Language Pathologist 4880076512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108366TXMDClinical Social Worker
SLP8145AZMDSpeech-Language Pathologist
SP-1680NVMDSpeech-Language Pathologist
SL010637PAMDSpeech-Language Pathologist
SLP-1353WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Therapy Group LLC Speech-Language Pathologist CurrentSince Apr 1, 2022 Accepting new patients
Therapy Blocks L.L.C. Speech-Language Pathologist Past Accepting new patients
Seven Bridges Speech Pathology Inc Speech-Language Pathologist PastSince May 14, 2023 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

3389 Sheridan St
Hollywood, FL 33021
Phone (954) 247-8757

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1952653826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S JONES BLVD",
            "address_2": "SUITE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466792",
            "telephone_number": "702-360-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S JONES BLVD",
            "address_2": "SUITE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466792",
            "telephone_number": "702-360-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEY",
        "first_name": "CASSANDRA",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1680",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010637",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1353",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108366",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844519",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.