Individual provider Active NPI

Amy D Shaner, SLP

  • Speech-Language Pathologist
  • West Palm Beach, FL
National Provider Identifier
1407183189
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8590 Issued in FL
Practice address
10625 N Military TRL
Suite 207
West Palm Beach, FL 33410-6564
Phone
(561) 691-1911
Fax
(561) 691-4047
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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 8590 FL Primary

Addresses

Primary practice location

10625 N Military TRL
Suite 207
West Palm Beach, FL 33410-6564

Mailing address

10625 N Military TRL
Suite 207
West Palm Beach, FL 33410-6564
Phone (561) 691-1911

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

LicenseStateTypeSpecialty
8590FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna B. Wexler, SLP, PA Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1407183189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL",
            "address_2": "SUITE 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106564",
            "telephone_number": "561-691-1911",
            "fax_number": "561-691-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL",
            "address_2": "SUITE 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106564",
            "telephone_number": "561-691-1911",
            "fax_number": "561-691-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANER",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "8590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.