Individual provider Active NPI

Lane Shiever, SLP

  • Speech-Language Pathologist
  • Sulphur Springs, TX
National Provider Identifier
1306388145
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110458 Issued in TX
Practice address
1501 Holiday Dr
Sulphur Springs, TX 75482-4707
Phone
(903) 335-8727
Fax
(903) 335-8217
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 110458 TX Primary

Addresses

Primary practice location

1501 Holiday Dr
Sulphur Springs, TX 75482-4707

Mailing address

509 Austin Acres
Sulphur Springs, TX 75482-5093
Phone (903) 335-8727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014002190 TX Practitioner - Qualified Speech Language Pathologist 8123448008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Physical TherapyGroup PAC ID 8729237904, 8 clinicians

Practice addresses (Care Compare)

1501 Holiday Dr
Sulphur Springs, TX 75482-4707
Phone (903) 335-8727

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
95.18
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110458TXMDPediatric Occupational Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1306388145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 AUSTIN ACRES",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754825093",
            "telephone_number": "903-335-8727",
            "fax_number": "903-335-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HOLIDAY DR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824707",
            "telephone_number": "903-335-8727",
            "fax_number": "903-335-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEVER",
        "first_name": "LANE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.