Shawna M Fox, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019921-1 Issued in NY

Practice address

9601 Main St
Holland Patent, NY 13354-4618

Phone

(315) 865-7200

NPI assigned

Sep 9, 2010

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shawna M Synakowski Former name

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1619284825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-798-8361",
            "fax_number": "315-798-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 MAIN ST",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133544618",
            "telephone_number": "315-865-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SHAWNA",
        "middle_name": "M",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019921-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "SYNAKOWSKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela S Donovan, MS, CCC
• Michelle Lynn Dudrak-Farrell, OTR/L
• Tracy A Dulan, PTA
• ER Black Pharmacy Inc (Holland Patent Pharmacy)
• Thomas Fiore, R.PH.
• Holland Patent Central School District
• Lisa Anne Kimball
• Tracy Leanne-Basi, RN
• Ashley H Leclair, LCSW
• Ashley Lynn Mundrick, PHARMD

• Speech-Language Pathologist in Holland Patent, NY
• Providers in Holland Patent, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.