Shelley Whitaker, SLP-ASSISTANT

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

4992 Issued in LA

Practice address

110 Bowie Rd
Thibodaux, LA 70301-6703

Phone

(985) 447-8181

NPI assigned

Jan 14, 2022

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

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1356092019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GAYNELL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642052",
            "telephone_number": "985-852-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOWIE RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016703",
            "telephone_number": "985-447-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "SHELLEY",
        "credential": "SLP-ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-10-03",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "LA",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Weber
• Madalyn Webre
• Chester Frank Weimer, M.D.
• Ted Weller, D.C.
• Ashley Janee West, PLPC
• Victoria White-Pittman, FNP-C
• Gerard Anthony White, MED, ATC, LAT
• Sheila Marie White
• Taisha White, LMSW
• Dominique Wilkerson, MCJ

• Speech-Language Assistant in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Speech-Language Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.