Joanne Rodriguez Shank

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 11802 Issued in FL

Practice address

111 Two Pine Dr
Greenacres, FL 33413-2500

Phone

(561) 324-3338

NPI assigned

Aug 18, 2011

Last updated

Aug 16, 2019By the provider in NPPES

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

• Joanne Rodriguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal SLP, LLC

  • Speech-Language Pathologist
  • Greenacres, FL
  • NPI 1730736489
  NPD Authorized official
• A Place for You Adult Day Care and Rehab Center Corp.

  • Adult Day Care Clinic/Center
  • Palm Springs, FL
  • NPI 1184065559
  NPD (past)
• Speech Rehab Services LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1114268927
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1134409477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6968 TRADEWIND WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334624049",
            "telephone_number": "561-324-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TWO PINE DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132500",
            "telephone_number": "561-324-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "JOANNE",
        "middle_name": "RODRIGUEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 11802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "RODRIGUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leonardo Serrano Socarras, DMD
• Mia Nneka Serrano, DPT
• Seventeen Medical Supply LLC
• Aeshaben N Shah, PHARMD
• Nakshi Vinay Shah, PHARMD
• Sheldon S Shapiro, CAC
• Sharpe Concierge Healthcare LLC
• Sharpe Concierge Healthcare LLC (Sharpe Concierge)
• Sharpe Healthcare Solution, Inc
• Paula Shaw, PSYD

• Speech-Language Pathologist in Greenacres, FL
• Providers in Greenacres, 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 Aug 16, 2019; 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.