Active NPI
Erica K Shaw, M.S., CCC-SLP
- Speech-Language Pathologist
- Utica, NY
National Provider Identifier
1164677316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016176-1
- Practice address
- 3 Parkside CT
Utica, NY 13501-5643 - Phone
- (315) 724-4286
- NPI assigned
- Dec 1, 2008
- Last updated
- Dec 1, 2008
- 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 | 016176-1 | NY | Primary |
Addresses
Primary practice location
3 Parkside CT
Utica, NY 13501-5643
Mailing address
19 Stebbins Dr
Clinton, NY 13323-1411
Phone (315) 853-3235
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016176-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1164677316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 STEBBINS DR",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231411",
"telephone_number": "315-853-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PARKSIDE CT",
"city": "UTICA",
"state": "NY",
"postal_code": "135015643",
"telephone_number": "315-724-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ERICA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016176-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.