Donna Ruth Shay, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0100 Issued in WV

Practice address

122 12TH Street Ext
Princeton, WV 24740-2352

Phone

(304) 487-7658

Fax

(304) 487-7900

NPI assigned

Mar 1, 2006

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

Other identifiers 1

Other names 1

• Donna Ruth Shanklin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Princeton Audiology Clinic, Inc.,

  • Hearing Aid Equipment
  • Princeton, WV
  • NPI 1073580817

  Speech-Language Pathologist

  NPD (past)
• Princeton Audiology Clinic, Inc.,

  • Audiologist
  • Bluefield, WV
  • NPI 1598981524

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1386611127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 12TH STREET EXTENSION",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402272",
            "telephone_number": "304-487-7658",
            "fax_number": "304-487-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-487-7658",
            "fax_number": "304-487-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "DONNA",
        "middle_name": "RUTH",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP0100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE LICENSE",
            "identifier": "SLP0100",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SHANKLIN",
            "middle_name": "RUTH",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael E Shahan, M.D.
• Brittany Shanklin
• McKenzie Sharitz
• Amy Marie Sharp, PTA
• Samantha Kay Shaw
• Khristina L Shelley, LPN
• Dawson Shepherd
• Barbara Sheppard, APRN BC
• Jo Beth Shinn
• Paula Shipley

• Speech-Language Pathologist in Princeton, WV
• Providers in Princeton, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.