Shea Kimberly Jaworski

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1521 Issued in AR

Practice address

810 W Markham St
Little Rock, AR 72201-1306

Phone

(501) 447-1000

NPI assigned

May 9, 2008

Last updated

May 9, 2008By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Rock School District

  • Local Education Agency (LEA)
  • Little Rock, AR
  • NPI 1053455691
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1164699179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 TOLTEC DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721162806",
            "telephone_number": "501-833-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011306",
            "telephone_number": "501-447-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "SHEA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kewen Z Jauss, M.D.
• Hafiz Talha Javed, MD
• Herra Javed, MBBS
• Muhammad Jawad Javed, MD
• Amna Jawaid, MD
• Jay R Owens Jr
• Sowmya Jayachandran
• Sneha Jayadeep
• John Freeland Jayroe, MD
• Jayton a. Lim, M.D., P.a.

• Speech-Language Pathologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.