Individual provider Active NPI

Shamim Haldankar, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Redwood City, CA
National Provider Identifier
1487045225
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11620 Issued in CA
Practice address
617 Veterans Blvd
Suite 203
Redwood City, CA 94063-1496
Phone
(650) 241-8332
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 SP11620 CA Primary

Addresses

Primary practice location

617 Veterans Blvd
Suite 203
Redwood City, CA 94063-1496

Mailing address

617 Veterans Blvd
Suite 203
Redwood City, CA 94063-1496
Phone (650) 241-8332

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 Arts

State licenses

LicenseStateTypeSpecialty
SP11620CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1487045225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD",
            "address_2": "SUITE 203",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631496",
            "telephone_number": "650-241-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD",
            "address_2": "SUITE 203",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631496",
            "telephone_number": "650-241-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDANKAR",
        "first_name": "SHAMIM",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.