Savannah Lynn Shoemaker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3100 47TH Ave Ste 2120
Long Island City, NY 11101-3010

Phone

(718) 593-4121

Fax

(718) 268-2646

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Alliedmedix Resources Inc

  • Early Intervention Provider Agency
  • Long Island City, NY
  • NPI 1568603090
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1316519077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 80TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247034",
            "telephone_number": "520-425-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 47TH AVE STE 2120",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013010",
            "telephone_number": "718-593-4121",
            "fax_number": "718-268-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "SAVANNAH",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisheva M Shimunoff
• Jae Yoon Shin, D.P.M.
• Susie Shin, PHARMD
• Seliat Shinaba, RN
• Jaclyn Shlisky, PSY.D.
• Shoma B. Anam
• Isa-Ngozi Shoneyin, MSN, BA, SANE, SAFE
• Eleni Shyta, PHARMD
• Effie Siamas, MA, CCC/SLP
• Tania Siddique

• Speech-Language Pathologist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.