Active NPI
Marilyn Rose Shaw, M.A., CCC/SLP
- Speech-Language Pathologist
- Oneonta, NY
National Provider Identifier
1154607745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 008108-1
- Practice address
- 2705 State Highway 28
The School at Springbrook
Oneonta, NY 13820-3153 - Phone
- (607) 286-7171
- Fax
- (607) 286-7166
- NPI assigned
- Oct 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 008108-1 | NY | Primary |
Addresses
Primary practice location
2705 State Highway 28
The School at Springbrook
Oneonta, NY 13820-3153
Mailing address
2705 State Highway 28
The School at Springbrook
Oneonta, NY 13820-3153
Phone (607) 286-7171
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008108-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1154607745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 STATE HIGHWAY 28",
"address_2": "THE SCHOOL AT SPRINGBROOK",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138203153",
"telephone_number": "607-286-7171",
"fax_number": "607-286-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 STATE HIGHWAY 28",
"address_2": "THE SCHOOL AT SPRINGBROOK",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138203153",
"telephone_number": "607-286-7171",
"fax_number": "607-286-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "MARILYN",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "008108-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oneonta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.