Active NPI
Shane Carpenter Aneshansley, MS, CCC-SLP
- Speech-Language Pathologist
- Clinton, OK
National Provider Identifier
1356511315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2137
- Practice address
- 100 North 30TH Street
Integris Clinton Regional Hospital
Clinton, OK 73601 - Phone
- (580) 323-8273
- NPI assigned
- Mar 6, 2008
- Last updated
- Mar 6, 2008
- 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 | 2137 | OK | Primary |
Addresses
Primary practice location
100 North 30TH Street
Integris Clinton Regional Hospital
Clinton, OK 73601
Mailing address
PO Box 1569, 100 N. 30TH Street
Integris Clinton Regional Hospital
Clinton, OK 73601
Phone (580) 323-8273
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 |
|---|---|---|---|
| 2137 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1356511315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1569, 100 N. 30TH STREET",
"address_2": "INTEGRIS CLINTON REGIONAL HOSPITAL",
"city": "CLINTON",
"state": "OK",
"postal_code": "73601",
"telephone_number": "580-323-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTH 30TH STREET",
"address_2": "INTEGRIS CLINTON REGIONAL HOSPITAL",
"city": "CLINTON",
"state": "OK",
"postal_code": "73601",
"telephone_number": "580-323-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANESHANSLEY",
"first_name": "SHANE",
"middle_name": "CARPENTER",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.