Shanita Ebere

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22166 Issued in CA

Practice address

43100 Palm Royale Dr
Apt 227
La Quinta, CA 92253-7991

Phone

(773) 414-6292

Fax

(323) 315-2383

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Let's Talk

  • Speech-Language Pathologist
  • La Quinta, CA
  • NPI 1942748553
  NPD (past) Authorized official
• Naturally Speaking Therapy Corporation

  • Speech-Language Pathologist
  • La Quinta, CA
  • NPI 1891238739
  Authorized official Same address or phone

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1811295728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43100 PALM ROYALE DR",
            "address_2": "APT 227",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537991",
            "telephone_number": "773-414-6292",
            "fax_number": "323-315-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43100 PALM ROYALE DR",
            "address_2": "APT 227",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537991",
            "telephone_number": "773-414-6292",
            "fax_number": "323-315-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERE",
        "first_name": "SHANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009919",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Daniel Dreisbach, M.D.
• Emily J Druce, PA-C
• DTM Inc
• Eric Duran, RPH
• Christine Duranceau, MD
• Erika R Edney
• Edward a. Ruiz MD, Professional Corporation
• Efren F Wu MD Inc
• Liora Eidelstein, DDS, MS
• Eisenhower Medical Center (Eisenhower Health)

• Speech-Language Pathologist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.