Active NPI
Shayna Elise Conway
- Speech-Language Pathologist
- Titusville, FL
National Provider Identifier
1659981371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15860
- Practice address
- 1550 Jess Parrish CT
Titusville, FL 32796-2147 - Phone
- (407) 466-1101
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA105860 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA15860 | FL | Primary |
Addresses
Primary practice location
1550 Jess Parrish CT
Titusville, FL 32796-2147
Mailing address
1550 Jess Parrish CT
Titusville, FL 32796-2147
Phone (407) 466-1101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA105860 | FL | MD | Speech-Language Pathologist |
| SA15860 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1659981371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 JESS PARRISH CT",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962147",
"telephone_number": "407-466-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 JESS PARRISH CT",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962147",
"telephone_number": "407-466-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "SHAYNA",
"middle_name": "ELISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA105860",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Titusville, FL
- Community Health Network of Central Florida, LLC
- Community Medical Services LLC (Medical Woundcare Specialist)
- Luke David Conant, PT
- Laurence D Conley, M.D.
- Contentment Hearing Care
- Betsy Cooduvalli, DO
- Susan E Cool, OTR
- Kathleen J. Cooper
- Cora Health Services Inc (CORA Physical Therapy - Titusville)
- Cornerstone Communication Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.