Individual provider Active NPI

Jami L Shutt, NYS LIC SLP

  • Speech-Language Pathologist
  • Sodus, NY
National Provider Identifier
1245501352
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020971-1 Issued in NY
Practice address
6884 Maple Ave
Sodus, NY 14551-9303
Phone
(315) 483-9118
Fax
(315) 483-9432
NPI assigned
Jan 20, 2012
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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 020971-1 NY Primary

Addresses

Primary practice location

6884 Maple Ave
Sodus, NY 14551-9303

Mailing address

6884 Maple Ave
Sodus, NY 14551-9303
Phone (315) 483-9118

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

State licenses

LicenseStateTypeSpecialty
020971-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1245501352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 MAPLE AVE",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519303",
            "telephone_number": "315-483-9118",
            "fax_number": "315-483-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6884 MAPLE AVE",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519303",
            "telephone_number": "315-483-9118",
            "fax_number": "315-483-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "JAMI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NYS LIC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020971-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sodus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.