Shawntay King

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

619 Palmer Ave
Romeoville, IL 60446-1423

Phone

(773) 407-0480

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1689122590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PALMER AVE",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461423",
            "telephone_number": "773-407-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 PALMER AVE",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461423",
            "telephone_number": "773-407-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHAWNTAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn S Khan, LCPC, CDVP
• Pradeep Khurana, DDS
• Kristy Ann Kijinski, D.C.
• Catherine Kiley, FNP
• Eric Kim, DPT
• Dominique Kinney, COTA/L
• Kristy Kipka, PSY.D.
• Meghan Kloss
• Koah Chiropractic LLC (KOAH Chiropractic)
• Joanna Koc, PHARMD

• Developmental Therapist in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.