Shavonne Brown

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15362 Issued in FL

Practice address

4320 W Broward Blvd
Ste 4
Plantation, FL 33317-3756

Phone

(954) 266-9013

Fax

(855) 941-2537

NPI assigned

Feb 3, 2016

Last updated

May 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1497113658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 W BROWARD BLVD",
            "address_2": "STE 4",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173756",
            "telephone_number": "954-266-9013",
            "fax_number": "786-257-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 W BROWARD BLVD",
            "address_2": "STE 4",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173756",
            "telephone_number": "954-266-9013",
            "fax_number": "855-941-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAVONNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7457",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016647600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher A Brown, M.D.
• Heather Brown, D.D.S.
• Jemal Abdul Brown Sr., APRN
• Johnnett S Brown
• Michelle T Brown, APRN, AGNP-C
• Sheldon Brown
• Sherrie Brown
• Steven Barry Brown, MD
• Bruce a. Miller MD PA (Pediatric Ophthalmology Consultants of So. FL)
• Jennifer Kristie Bruce, MS SLP

• Speech-Language Pathologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.