Katrina Schickenberg, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19261 Issued in CA

Practice address

715 Emeline Ave
Santa Cruz, CA 95060-1911

Phone

(408) 507-1873

NPI assigned

Oct 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina Grube Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1992305544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601911",
            "telephone_number": "408-507-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601911",
            "telephone_number": "408-507-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICKENBERG",
        "first_name": "KATRINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katrinaspeechtherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "715 Emeline Ave",
            "city": "Santa Cruz",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950601911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "GRUBE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Schaffer
• Melissa Scheckner, LCSW
• Rebecca Marie Scheiblauer, RN, IBCLC
• Andromeda Marie Scheller, CMA (AAMA)
• Donald E Schepps, M.D.
• Ryan Ethan Schindler
• Casey Schirmer, MD
• Miranda Schirmer
• Laura Schlatter
• Dana Elaine Schlick, LMFT

• Speech-Language Pathologist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.