Shaunna Marie Bobak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008331 Issued in PA

Practice address

111 Market St
Johnstown, PA 15901-1608

Phone

(814) 539-1919

Fax

(814) 539-1308

NPI assigned

Apr 10, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beginnings, Inc.

  • Speech-Language Pathologist
  • Johnstown, PA
  • NPI 1306978796
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1669435525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HOFFMAN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042710",
            "telephone_number": "814-539-1919",
            "fax_number": "814-539-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011608",
            "telephone_number": "814-539-1919",
            "fax_number": "814-539-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBAK",
        "first_name": "SHAUNNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014961900002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "231365369",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shawn Blough, BS
• Colin B Blount, M.A.
• Blue and Green Medical PC
• Lauren Ann Blue, CRNP
• James E Boatman, M.D.
• Sai Harsha Bobba, MD
• Apryle Lynn Bober, CRNP
• Rhiana Bodenschatz, OTR
• Timothy Jon Bodenschatz, PA-C
• Christy Lynn Bolen, PHARM.D.

• Speech-Language Pathologist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.