Individual provider Active NPI

Shamia Louise White, MS CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1821244120
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103491 Issued in TX
Practice address
2525 Centerville Rd
Dallas, TX 75228-2634
Phone
(214) 324-3328
Fax
(214) 324-3328
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 103491 TX Primary

Addresses

Primary practice location

2525 Centerville Rd
Dallas, TX 75228-2634

Mailing address

7 Huntington Bend Dr
Manvel, TX 77578-3280
Phone (832) 725-1970

Other practice location 1

7 Huntington Bend Dr
Manvel, TX 77578-3280
Phone (832) 725-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103491TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speaking Out Loud Speech Therapy Services, PLLC Speech-Language Pathologist PastSince Dec 29, 2019 Accepting new patients
Reliant Children Therapy Center, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1821244120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HUNTINGTON BEND DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783280",
            "telephone_number": "832-725-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTERVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282634",
            "telephone_number": "214-324-3328",
            "fax_number": "214-324-3328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Huntington Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Manvel",
            "state": "TX",
            "postal_code": "775783280",
            "country_code": "US",
            "telephone_number": "832-725-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHAMIA",
        "middle_name": "LOUISE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.