Mary Shain, SLP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

30761482 Issued in NH

Practice address

28 Shaker Rd
New London, NH 03257-5954

Phone

(603) 526-2940

Fax

(603) 526-2940

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1366653008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SHAKER RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575954",
            "telephone_number": "603-526-2940",
            "fax_number": "603-526-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SHAKER RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575954",
            "telephone_number": "603-526-2940",
            "fax_number": "603-526-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIN",
        "first_name": "MARY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0288",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NH",
            "license": "30761482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30400646",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30761482",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danilo Salgado
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• Shannon Schachtner, FNP
• Amy Schneider, MD
• Gina Apicelli Schwartz, MD
• Margaret Shepard, PHD, PMHNP-BC, APRN
• Amanda Slack, PT
• Smart Physical Therapy LLC
• Nancy Smith
• Noah Smith

• Durable Medical Equipment & Medical Supplies in New London, NH
• Providers in New London, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.