Shelly Siaca

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

1006201 Issued in TX

Practice address

113 W Green St Ste 100
Saginaw, TX 76179-1629

Phone

(682) 234-7916

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Shelly Siaca Professional name

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1669956470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W GREEN ST STE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791629",
            "telephone_number": "682-234-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W GREEN ST STE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791629",
            "telephone_number": "682-234-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIACA",
        "first_name": "SHELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1006201",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TX",
            "license": "1006201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "SIACA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samuel H. Davis MD PA
• Kathryn Alison Schabel, SLP
• Melissa Schmid, NP
• SD Saginaw PLLC
• Melissa Nicole Shannon, MS, LPC-INTERN
• Juan Francisco Silva Riquelme, DDS
• Taylor Sons
• Erin Spangler
• Anna Spencer, DDS
• Janene Sperandeo, D.M.D.

• Other Specialist/Technologist in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.