Shatonya Pickens, MED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101222 Issued in TX

Practice address

7537 Sweet Meadows Dr
Fort Worth, TX 76123-1970

Phone

(817) 423-4270

Fax

(817) 423-4270

NPI assigned

Jan 13, 2011

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

Credentials

Master of Education

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.

• Impactful Speech Therapy PLLC

  • Speech-Language Pathologist
  • Fort Worth, TX
  • NPI 1174267744
  NPD Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1134424740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 SWEET MEADOWS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231970",
            "telephone_number": "817-423-4270",
            "fax_number": "817-423-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 SWEET MEADOWS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231970",
            "telephone_number": "817-423-4270",
            "fax_number": "817-423-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "SHATONYA",
        "name_prefix": "Ms.",
        "credential": "MED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josmary Isabel Pichardo, PHARM D.
• Priscilla Sharon Pichon, MPH
• Brenna Pickard, D.O.
• Stuart Charles Pickell, MD
• Ashlyn Carrie Pickens
• Richard Stephen Pickering, MD
• Arika Wright Pickle, LPC
• Aimee Picklesimer, CNA
• Sheila Marie Pickrel, PHYSICAL THERAPIST
• Alyson Buick Pico, DO

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.