Individual provider Active NPI

Shawn Mayer, CCC-SLP

  • Speech-Language Pathologist
  • Conroe, TX
National Provider Identifier
1316504798
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106615 Issued in TX
Practice address
11133 Interstate 45 S Ste 190
Conroe, TX 77302-5834
Phone
(936) 494-0570
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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 106615 TX Primary

Addresses

Primary practice location

11133 Interstate 45 S Ste 190
Conroe, TX 77302-5834

Mailing address

234 Lake View Cir
Montgomery, TX 77356-2843
Phone (936) 242-6489

Other practice location 1

234 Lake View Cir
Montgomery, TX 77356-2843
Phone (936) 242-6489

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Speech Therapy Services LLC Speech-Language Pathologist PastSince Mar 17, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1316504798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 LAKE VIEW CIR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562843",
            "telephone_number": "936-242-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 INTERSTATE 45 S STE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025834",
            "telephone_number": "936-494-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Lake View Cir",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773562843",
            "country_code": "US",
            "telephone_number": "936-242-6489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "SHAWN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.