Individual provider Active NPI

Shirley Arnon Handford, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Carthage, MS
National Provider Identifier
1386809606
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S1193 Issued in MS
Practice address
705 Old Canton Rd
Carthage, MS 39051-4081
Phone
(601) 267-6819
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S1193 MS Primary

Addresses

Primary practice location

705 Old Canton Rd
Carthage, MS 39051-4081

Mailing address

705 Old Canton Rd
P. O. Box 1043
Carthage, MS 39051-4081
Phone (601) 267-6819

Other identifiers 1

IdentifierTypeStateIssuer
09822099MedicaidMS

Other names 1

  • Ms. Shirley A. Williams Former name

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

LicenseStateTypeSpecialty
S1193MSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1386809606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 OLD CANTON RD",
            "address_2": "P. O. BOX 1043",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514081",
            "telephone_number": "601-267-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 OLD CANTON RD",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514081",
            "telephone_number": "601-267-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDFORD",
        "first_name": "SHIRLEY",
        "middle_name": "ARNON",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09822099",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "WILLIAMS",
            "middle_name": "A.",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carthage, MS

Sources for this page

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