Shaneylin Dickson, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13487 Issued in AZ

Practice address

2830 E Brown Rd
Mesa, AZ 85213-5430

Phone

(425) 373-6972

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

Yes

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1609532571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 E SUPERSTITION SPRINGS BLVD APT 1046",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064314",
            "telephone_number": "425-373-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135430",
            "telephone_number": "425-373-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "SHANEYLIN",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Dicks, PHARM. D.
• Lisa Ann Dicks, PHARM.D.
• Danielle Elizabeth Dickshinski, L.AC.
• Claudia Silveri Dickson, COTAL
• Elvis W Dickson
• Tanner Stefan Dictter
• Haley Tricia Lynn Didelotte, CCC-SLP
• Kevan Didier, OTD
• Gregory G Diede
• Geoffrey David Diek, PT

• Speech-Language Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.