Individual provider Active NPI

Laura Shniderman, M.S. , CCC-SLP

  • Speech-Language Pathologist
  • Paradise Valley, AZ
National Provider Identifier
1578745899
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0647 Issued in AZ
Practice address
4156 E McDonald Dr
Paradise Valley, AZ 85253-3934
Phone
(602) 317-5337
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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 SLP0647 AZ Primary

Addresses

Primary practice location

4156 E McDonald Dr
Paradise Valley, AZ 85253-3934

Mailing address

4156 E McDonald Dr
Paradise Valley, AZ 85253-3934
Phone (602) 317-5337

Other identifiers 1

IdentifierTypeStateIssuer
589228OtherAZAHCCS

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 Science

State licenses

LicenseStateTypeSpecialty
SLP0647AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1578745899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 E MCDONALD DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533934",
            "telephone_number": "602-317-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 E MCDONALD DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533934",
            "telephone_number": "602-317-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNIDERMAN",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "M.S. , CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "589228",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.