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Deactivated NPI 1194049437 Deactivated / Inactive NPI Male Practitioner

Shelby Goertzen , MS, CCC-SLP

Speech-Language Pathologist • Colfax, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shelby Goertzen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 16, 2010
NPI Deactivation Date February 01, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Shelby Goertzen, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Colfax, WA. Throughout an active medical career spanning 13 years, Shelby Goertzen provided care at the practice location at 1150 W FAIRVIEW ST until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

1150 W Fairview St

Colfax, WA 991119580

Telephone 5093974603
Fax 5093979214
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Colfax, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Colfax, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL 60123648

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Robert Morgan , PT, GCS

Physical Therapist

NPI 1154580496

Physical Therapist, GCS

Ross Macdonald

Occupational Therapist

NPI 1205295417
Alison Carriger

Occupational Therapist

NPI 1326667882
Kaitlin Watson , MS OTR, L

Occupational Therapist

NPI 1396983425

MSOTR, L

Lyubov Bozhinova , PTA

Physical Therapy Assistant

NPI 1447761499

Physical Therapist Assistant

Dr. Kevin Constantin , DPT

Physical Therapist

NPI 1679002893

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

NPI Profile Active March 16, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 16, 2010

Registered at 1150 W FAIRVIEW ST, COLFAX, WA 991119580 (Tel: 5093974603)

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Updated Business Mailing Address March 16, 2010

Registered at 4263 W BELMONT AVE, FRESNO, CA 937225810 (Tel: 5597091348)

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Provider Name / Credentials Updated March 16, 2010

Recorded as SHELBY GOERTZEN, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2010

Speech-Language Pathologist (License #LL 60123648 in WA)

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Initial NPI Registration & Enumeration March 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194049437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2010
Last Update: March 16, 2010
Deactivation Date: February 01, 2023

Mailing Address

4263 W Belmont Ave

Fresno, CA 937225810

Phone: 5597091348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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