Individual provider Active NPI

Sidra N/a Shafiq

  • Speech-Language Pathologist
  • Anna, TX
National Provider Identifier
1316854698
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
120 W Hackberry LN
Anna, TX 75409-2564
Phone
(847) 612-9697
Fax
(847) 612-9697
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 TX Primary

Addresses

Primary practice location

120 W Hackberry LN
Anna, TX 75409-2564

Mailing address

11353 Loblolly Way Apt 10102
Frisco, TX 75035-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1316854698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11353 LOBLOLLY WAY APT 10102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750353227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W HACKBERRY LN",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754092564",
            "telephone_number": "847-612-9697",
            "fax_number": "847-612-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIQ",
        "first_name": "SIDRA",
        "middle_name": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.