Individual provider Active NPI

Shankesha Seay, BS, ASST-SLP

  • Speech-Language Assistant
  • Irving, TX
National Provider Identifier
1356815450
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
40174 Issued in TX
Practice address
1231 Greenway Dr Ste 100
Irving, TX 75038-2525
Phone
(972) 871-1800
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 40174 TX Primary

Addresses

Primary practice location

1231 Greenway Dr Ste 100
Irving, TX 75038-2525

Mailing address

200 N Henderson Ave Apt 217
Dallas, TX 75214-5071
Phone (318) 499-1077

Other identifiers 1

IdentifierTypeStateIssuer
40174MedicaidTX

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
40174TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FST, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1356815450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N HENDERSON AVE APT 217",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752145071",
            "telephone_number": "318-499-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GREENWAY DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382525",
            "telephone_number": "972-871-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAY",
        "first_name": "SHANKESHA",
        "credential": "BS, ASST-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.