Active NPI
Rosemary Christiansen Shaw, CCC/SLP
- Speech-Language Pathologist
- Delanson, NY
National Provider Identifier
1396901682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005721-1
- Practice address
- 2841 Thousand Acres Rd
Delanson, NY 12053-1917 - Phone
- (518) 875-6141
- NPI assigned
- Aug 6, 2008
- 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 | 005721-1 | NY | Primary |
Addresses
Primary practice location
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Mailing address
PO Box 66
Richmondville, NY 12149-0066
Phone (518) 294-3265
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005721 | NY | MD | Psychologist |
| 005721-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Occupational and Physical Therapy Speech Language | Current | Accepting new patients |
Locations
81 Mohawk St
Cohoes, NY 12047
Phone (518) 220-9933
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 and National Provider Directory roles.
-
- Contractor
- Cohoes, NY
- NPI 1679946586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1396901682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "RICHMONDVILLE",
"state": "NY",
"postal_code": "121490066",
"telephone_number": "518-294-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ROSEMARY",
"middle_name": "CHRISTIANSEN",
"credential": "CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "005721-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delanson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.