Shavon Summers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5103 Issued in SC

Practice address

525 Cedar LN
Orangeburg, SC 29115-7117

Phone

(803) 347-3489

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Confident Communicators, LLC

  • Speech-Language Pathologist
  • Orangeburg, SC
  • NPI 1841650397
  NPD (past) Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1336505817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CEDAR LN",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291157117",
            "telephone_number": "803-347-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CEDAR LN",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291157117",
            "telephone_number": "803-347-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "SHAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orinthal R Striggles, MASTERS IN VOCATIONA
• Precious Qiara Suber
• Substance Abuse Disorder Rehabilitation Facility
• Annee Sugick
• Dana Nicole Summers
• Ashutosh Suresh, MD
• Aneshia L Taste, MHP
• John T Taylor, LMSW, CAC I
• Marcia Davis Taylor, LMSW
• Shaquille Akeem Terry

• Speech-Language Pathologist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.