Active NPI
Karen Shoemaker, MA,CCC/SLP
- Speech-Language Pathologist
- Daphne, AL
National Provider Identifier
1669858825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3786
- Practice address
- 26420 Kensington PL
Suite C
Daphne, AL 36526-5120 - Phone
- (251) 517-0355
- Fax
- (251) 625-1969
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3786 | AL | Primary |
Addresses
Primary practice location
26420 Kensington PL
Suite C
Daphne, AL 36526-5120
Mailing address
26420 Kensington PL
Daphne, AL 36526-5120
Phone (251) 517-0355
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3786 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1669858825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26420 KENSINGTON PL",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265120",
"telephone_number": "251-517-0355",
"fax_number": "251-625-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26420 KENSINGTON PL",
"address_2": "SUITE C",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265120",
"telephone_number": "251-517-0355",
"fax_number": "251-625-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "KAREN",
"credential": "MA,CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.