Robert Shaver

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

135050 Issued in IL

Practice address

1993 Mulberry St
Rockford, IL 61101-5670

Phone

(816) 967-8000

NPI assigned

Sep 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1619697117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 MULBERRY ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015670",
            "telephone_number": "816-967-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 MULBERRY ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015670",
            "telephone_number": "816-967-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "135050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.shaver@rps205.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1993 Mulberry St",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611015670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simran Sharma
• Sharon R Hasting Apn
• Heather Nicole Sharp, CPNP
• Jacqueline Michele Sharp, LCMT
• Robert M Sharrow, PHYSICIAN ASSISTANT
• Marcia Shaw, MSW
• Theresa Marie Sheahan, NP
• Austin Jeremiah Shearer, PTA
• Rehmat U Sheikh, M.D
• Aaron Steven Sheley, D.C.

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.