Individual provider Active NPI

Tanya Shamy Priest, MA, CCC-SLP

  • Speech-Language Pathologist
  • Boone, NC
National Provider Identifier
1164067377
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5118 Issued in NC
Practice address
175 Pioneer TRL
Boone, NC 28607-8860
Phone
(828) 264-7190
Fax
(828) 264-7196
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5118 NC Primary

Addresses

Primary practice location

175 Pioneer TRL
Boone, NC 28607-8860

Mailing address

660 Holloway Mountain Rd
Boone, NC 28607-6326
Phone (541) 217-8338

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

LicenseStateTypeSpecialty
5118NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Speech Pathology Associates, Inc. Speech-Language Pathologist CurrentSince Nov 17, 2019 Accepting new patients
Watauga County Board of Education Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1164067377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HOLLOWAY MOUNTAIN RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076326",
            "telephone_number": "541-217-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PIONEER TRL",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078860",
            "telephone_number": "828-264-7190",
            "fax_number": "828-264-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEST",
        "first_name": "TANYA",
        "middle_name": "SHAMY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.