Madison Elise Shoemaker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI60970928

Practice address

6710 N Country Homes Blvd
Spokane, WA 99208-4337

Phone

(509) 487-2958

NPI assigned

Jun 14, 2019

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

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.

• Center for Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1477718492
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1760042519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 N WASHINGTON ST UNIT C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084337",
            "telephone_number": "509-487-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "MADISON",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "SI60970928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoba Nishek Licsw, LLC
• Holly D. Shockley, LPC, LMHC
• Shoemaker Ghorbanian I PLLC
• Shoemaker Ghorbanian II PLLC
• Jeffrey Leon Shoemaker, DC
• Sidni Brianna Shoemaker, ARNP
• Tyler S Shoemaker, DMD
• Sarah Louise Shogren, DPM
• Trisha Katherine Shogren
• Michael Leonard Sholtz

• Speech-Language Pathologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.