Shana Engram-Kitchin, MS.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26980 Issued in CA

Practice address

1211 Drake Ave
San Leandro, CA 94579-1156

Phone

(248) 275-3295

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shana Engram Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Diverse Voices Therapy Corporation

  • Speech-Language Pathologist
  • San Leandro, CA
  • NPI 1104624493
  NPD Authorized official

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1518455682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 DRAKE AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791156",
            "telephone_number": "248-275-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DRAKE AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791156",
            "telephone_number": "248-275-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25701 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341822",
            "country_code": "US",
            "telephone_number": "248-275-3295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W 6th St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171800",
            "country_code": "US",
            "telephone_number": "248-275-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGRAM-KITCHIN",
        "first_name": "SHANA",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "ENGRAM",
            "credential": "MS.CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Embody, PTA
• Angelica Kholine Encarnado
• Julia Wai-Yee Eng Godburn
• Rose Eng, M.D.
• Tiffany Trode English, LCSW
• Silvia A Enriquez Chairez
• Alma Lisette Enriquez
• Jamaica Entona
• Nicole Epres
• Epstein Optometric Corporation

• Speech-Language Pathologist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.