Active NPI
Shanika R Thomas
- Speech-Language Pathologist
- Huntsville, AL
National Provider Identifier
1053935759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000006769
- Practice address
- 1580 Sparkman Dr NW
Huntsville, AL 35816-2682 - Phone
- (256) 715-1249
- NPI assigned
- May 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AL | ||
| Speech-Language Pathologist | 235Z00000X | 0000006769 | TN | Primary |
Addresses
Primary practice location
1580 Sparkman Dr NW
Huntsville, AL 35816-2682
Mailing address
101 Tea Tree CT
Hazel Green, AL 35750-5201
Other practice location 1
211 Ana Dr
Florence, AL 35630-1768
Phone (256) 766-8963
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 |
|---|---|---|---|
| 0000006769 | TN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St'S Touched Expressions | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Hazel Green, AL
- NPI 1285345322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1053935759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TEA TREE CT",
"city": "HAZEL GREEN",
"state": "AL",
"postal_code": "357505201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 SPARKMAN DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358162682",
"telephone_number": "256-715-1249"
}
],
"practiceLocations": [
{
"address_1": "211 Ana Dr",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356301768",
"country_code": "US",
"telephone_number": "256-766-8963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "SHANIKA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000006769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.