Individual provider Active NPI

Maryem Ali Shiha, BA, SLPA

  • Speech-Language Assistant
  • Plant City, FL
National Provider Identifier
1306671581
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Practice address
2006 W Oak Ave
Plant City, FL 33563-7255
Phone
(813) 757-9300
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X Primary

Addresses

Primary practice location

2006 W Oak Ave
Plant City, FL 33563-7255

Mailing address

14059 Riveredge Dr Unit 3101
Tampa, FL 33637-1059
Phone (352) 207-5967

Other practice location 1

602 Vonderburg Dr Ste 201
Brandon, FL 33511-5900
Phone (813) 653-1149

Other practice location 2

18 S Maryland Ave
Plant City, FL 33563-6008
Phone (813) 757-9360

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
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1306671581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14059 RIVEREDGE DR UNIT 3101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371059",
            "telephone_number": "352-207-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 W OAK AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637255",
            "telephone_number": "813-757-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Vonderburg Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115900",
            "country_code": "US",
            "telephone_number": "813-653-1149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335636008",
            "country_code": "US",
            "telephone_number": "813-757-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIHA",
        "first_name": "MARYEM",
        "middle_name": "ALI",
        "credential": "BA, SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.