Active NPI
Shana Stanley, SLP
- Speech-Language Pathologist
- Norton, VA
National Provider Identifier
1386307338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005769
- Practice address
- 1490 Park Ave NW
Norton, VA 24273-1631 - Phone
- (276) 439-1450
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 2202005769 | VA | Primary |
Addresses
Primary practice location
1490 Park Ave NW
Norton, VA 24273-1631
Mailing address
304 Chestnut St NW
Norton, VA 24273-1402
Phone (276) 870-7511
Other practice location 1
157 Ross Carter Blvd
Duffield, VA 24244-5116
Phone (276) 431-2841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DSLLS619 | Other | VA | LONG TERM CARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005769 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1386307338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 CHESTNUT ST NW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731402",
"telephone_number": "276-870-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 PARK AVE NW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731631",
"telephone_number": "276-439-1450"
}
],
"practiceLocations": [
{
"address_1": "157 Ross Carter Blvd",
"address_purpose": "LOCATION",
"city": "Duffield",
"state": "VA",
"postal_code": "242445116",
"country_code": "US",
"telephone_number": "276-431-2841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANLEY",
"first_name": "SHANA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LONG TERM CARE",
"identifier": "DSLLS619",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.