Active NPI
Sheena McNair, M.S.
- Speech-Language Pathologist
- San Jose, CA
National Provider Identifier
1215226238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6772
- Practice address
- 4155 Moorpark Ave
Suite 1
San Jose, CA 95117-1714 - Phone
- (408) 249-0770
- Fax
- (408) 834-7767
- NPI assigned
- Mar 30, 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 | 6772 | CA | Primary |
Addresses
Primary practice location
4155 Moorpark Ave
Suite 1
San Jose, CA 95117-1714
Mailing address
4010 Moorpark Ave
Suite 117
San Jose, CA 95117-1714
Phone (408) 249-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6772 | Other | CA | CALIFORNIA SLP LICENSE |
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 |
|---|---|---|---|
| 6772 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learning to Succeed Speech Clinics, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Learning to Succeed
- Speech-Language Pathologist
- San Jose, CA
- NPI 1023242260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1215226238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 MOORPARK AVE",
"address_2": "SUITE 117",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171714",
"telephone_number": "408-249-0770",
"fax_number": "408-834-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE",
"address_2": "SUITE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171714",
"telephone_number": "408-249-0770",
"fax_number": "408-834-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAIR",
"first_name": "SHEENA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "6772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA SLP LICENSE",
"identifier": "6772",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.