Individual provider Active NPI

Shonta Tenisha Westbury, MA CCC - SLP

  • Speech-Language Pathologist
  • Orangeburg, SC
National Provider Identifier
1821528639
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5838 Issued in SC
Practice address
1890 Dellwood Drive
Orangeburg, SC 29115
Phone
(803) 290-4213
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5838 SC Primary

Addresses

Primary practice location

1890 Dellwood Drive
Orangeburg, SC 29115

Mailing address

1890 Dellwood Dr
Orangeburg, SC 29115-3912
Phone (803) 290-4213

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821528639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 DELLWOOD DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153912",
            "telephone_number": "803-290-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 DELLWOOD DRIVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-290-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBURY",
        "first_name": "SHONTA",
        "middle_name": "TENISHA",
        "credential": "MA CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.