Active NPI
Christy Thwaites, CCC-SLP
- Speech-Language Pathologist
- San Mateo, CA
National Provider Identifier
1962947275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23267
- Practice address
- 65 Tower Rd
San Mateo, CA 94402-4000 - Phone
- (650) 573-4010
- NPI assigned
- Dec 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 23267 | CA | Primary |
Addresses
Primary practice location
65 Tower Rd
San Mateo, CA 94402-4000
Mailing address
710 Laurel Ave Apt C5
San Mateo, CA 94401-4138
Phone (707) 337-2911
Other names 1
- Christy Elizabeth Titchenal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23267 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1962947275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LAUREL AVE APT C5",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014138",
"telephone_number": "707-337-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 TOWER RD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944024000",
"telephone_number": "650-573-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THWAITES",
"first_name": "CHRISTY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "TITCHENAL",
"middle_name": "ELIZABETH",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.