Mary MB Shaw

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003264 Issued in WA

Practice address

9007 W Metaline Ave
Kennewick, WA 99336-1490

Phone

(509) 737-0487

NPI assigned

Mar 27, 2013

Last updated

Mar 27, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1477896587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 W METALINE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361490",
            "telephone_number": "509-737-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 W METALINE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361490",
            "telephone_number": "509-737-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARY",
        "middle_name": "MB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archna Sharma, BDS MSD
• Erin Leigh Sharma, M. ED, LMHC, MHP
• Lovelyne Sharma, MD
• Kade Sharp, LICSW
• Nichole Marie Sharp, ARNP
• Jana Sheehan, LSWAIC
• Diana Sue Shelby, DPD
• Lara Chimene Shemali, LMHC
• Dawn Shepherd, LICSW
• Leilani Shepherd

• Speech-Language Pathologist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.