Shayla Teixeira, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22776 Issued in CA

Practice address

1035 Stage Gulch Rd
Petaluma, CA 94954-9550

Phone

(479) 220-0957

Fax

(707) 238-1411

NPI assigned

Mar 6, 2017

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

• Shayla Bonner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1144760406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5725",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949555725",
            "telephone_number": "479-220-0957",
            "fax_number": "707-238-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 STAGE GULCH RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949549550",
            "telephone_number": "479-220-0957",
            "fax_number": "707-238-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "SHAYLA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLA",
            "last_name": "BONNER",
            "credential": "M.S., SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanice Eschelle Tavita
• Susan Michelle Taylor Peters, MD
• Trinity Taylor
• Dagbegnon Ithiel Amos Oluwa G Tchake
• Lory M Teicheira, PT
• Jasmin Tejeda
• Timea Tenkei, IMF
• Kristine Tergesen, LCSW
• Kokeb Teshome, M.D.
• W. Richard Thayer, D.D.S.

• Speech-Language Pathologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.