Miranda Shaut, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

121405 Issued in TX

Practice address

801 Leopard St Apt 1316
Corpus Christi, TX 78401-2421

Phone

(361) 878-2520

NPI assigned

Apr 3, 2025

Last updated

Apr 3, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1659175040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LEOPARD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LEOPARD ST APT 1316",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012421",
            "telephone_number": "361-878-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUT",
        "first_name": "MIRANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Elaine Shandy-Simms, OTR
• Sharpe Medical Group
• Theresa Marie Sharpe, PH.D.
• Sonya Sharron
• Alexander Joseph Sharum, DO
• Jenesis Wynette Shaw, LPC
• Patricia Shaw, LPC-S
• Shaye Walston DO PLLC
• Shea Physical Therapy P C
• Shea Physical Therapy PC

• Speech-Language Pathologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.