Amy R Shores, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2006004092 Issued in MO

Practice address

10 South Euclid Ave.
Suite G
St. Louis, MO 63108-3808

Phone

(314) 367-7711

Fax

(314) 367-0177

NPI assigned

Apr 2, 2009

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

• Amy Carroll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Steps Pediatrics, LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1982752689
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1003058223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTH EUCLID AVE.",
            "address_2": "SUITE G",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631083808",
            "telephone_number": "314-367-7711",
            "fax_number": "314-367-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH EUCLID AVE.",
            "address_2": "SUITE G",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631083808",
            "telephone_number": "314-367-7711",
            "fax_number": "314-367-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006004092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CARROLL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Shor, RN
• Christine Shore-Fitzgerald, MSW, LMSW
• Bernard L Shore, MD
• Daniel Shore
• Jeffrey L Shore, MD
• Darla Roye Shores, MD
• Sarah B Shores
• Stephanie Lynn Shorey, WHNP-BC
• Alexis Short, MSW
• Charles D Short, MD

• Speech-Language Pathologist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.