Shaina Marie Proctor, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11343 Issued in FL

Practice address

1239 Mount Vernon St FL 32803
Orlando, FL 32803-5417

Phone

(407) 810-2773

NPI assigned

Sep 27, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• No Limits Therapy LLC

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1245725126
  NPD Authorized official
• Appple Therapy

  • Health Maintenance Organization
  • Kissimmee, FL
  • NPI 1982904579
  NPD (past) Authorized official
• Holista, LLC

  • Health Maintenance Organization
  • Menomonee Falls, WI
  • NPI 1649443912
  NPD (past)

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1780011387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIVECON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "786-246-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 MOUNT VERNON ST FL 32803",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035417",
            "telephone_number": "407-810-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "SHAINA",
        "middle_name": "MARIE",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002980000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Proctor
• Cassidy Gwenyth Proctor
• Lendora Proctor
• Luke Proctor, DO
• Natasha Mae Lavender Proctor, DNP, APRN, BMTCN
• Adam Robert Procunier, APRN
• Karyn Elizabeth Proehl, PT, DPT
• Professional Imaging Centers Inc
• Professional Imaging Consultants Inc
• Professional Psychiatric Services, LLC

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.