Active NPI
Gina Lorene Shea, MS/CF SLP
- Speech-Language Pathologist
- Sheboygan, WI
National Provider Identifier
1346440450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2967-154
- Practice address
- 4317 Morning View CT Apt J209
Sheboygan, WI 53081-1211 - Phone
- (309) 287-4893
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2967-154 | WI | Primary |
Addresses
Primary practice location
4317 Morning View CT Apt J209
Sheboygan, WI 53081-1211
Mailing address
4317 Morning View CT Apt J209
Sheboygan, WI 53081-1211
Phone (309) 287-4893
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2967-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1346440450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 MORNING VIEW CT APT J209",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811211",
"telephone_number": "309-287-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 MORNING VIEW CT APT J209",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811211",
"telephone_number": "309-287-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "GINA",
"middle_name": "LORENE",
"credential": "MS/CF SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2967-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.