Daryla Jeanine Shakley, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4559 Issued in AZ

Practice address

413 Childers St
Pensacola, FL 32534-9656

Phone

(623) 256-7730

NPI assigned

Jul 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1043400831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 CHILDRESS ST., PMB 2620",
            "address_2": "PO BOX 2430",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132424",
            "telephone_number": "623-256-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 CHILDERS ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349656",
            "telephone_number": "623-256-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKLEY",
        "first_name": "DARYLA",
        "middle_name": "JEANINE",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ruth Shade, C.R.N.A.
• Clayton J Shaeffer, DC
• Nandita A Shah
• Viraj Rajiv Shah
• Zeshan Ali Shakir, MBBS
• Jason Shallowhorne, CO
• Susan Ann Shanahan, LMT
• William J Shanahan, MD
• Jamie Patrick Shanks
• Prashanth Shanmugham, M.D.

• Speech-Language Pathologist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.