Shie Kantor, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22006939A Issued in IN

Practice address

2741 N Salisbury St
West Lafayette, IN 47906-1431

Phone

(765) 463-7546

NPI assigned

Sep 6, 2022

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)

Enrolled

State licenses

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1124749338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 CARLISLE RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061915",
            "telephone_number": "765-427-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 N SALISBURY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061431",
            "telephone_number": "765-463-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "SHIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006939A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Jo Kalb, MOT/OTR
• Venkataramanaiah Kamatam
• Anna Karis Kamphausen, COTA/L
• Katherine McLelland Kane, PT, DPT
• Sharon So Young Kang, RPH
• Joshua M Kaplan, MD
• Christine Kaporis
• Stephanie Sommers Karpicke
• Whitney Kasper, MS, CCC-SLP
• Neeharika Hephzi Katragadda, NP

• Speech-Language Pathologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.