Active NPI
Cassandra Starkey, CCC/SLP
- Speech-Language Pathologist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1680
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844519 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108366 | TX | MD | Clinical Social Worker |
| SLP8145 | AZ | MD | Speech-Language Pathologist |
| SP-1680 | NV | MD | Speech-Language Pathologist |
| SL010637 | PA | MD | Speech-Language Pathologist |
| SLP-1353 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Therapy Blocks L.L.C. | Speech-Language Pathologist | Past | Accepting new patients |
| Seven Bridges Speech Pathology Inc | Speech-Language Pathologist | Past | 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.
-
dba Gr8 Speech Inc
- Speech-Language Pathologist
- Hollywood, FL
- NPI 1568886471
CA
-
- Occupational Therapist
- Las Vegas, NV
- NPI 1346739562
Speech-Language Pathologist
-
dba Seven Bridges Therapy
- Speech-Language Pathologist
- Martinez, CA
- NPI 1508309113
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.