Shawn Gillens, M. A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8193 Issued in SC

Practice address

1401 Farrington Way Apt B
Columbia, SC 29210-6076

Phone

(803) 546-6227

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1841048204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21246",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211246",
            "telephone_number": "803-546-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FARRINGTON WAY APT B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106076",
            "telephone_number": "803-546-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLENS",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "M. A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmeet Singh Gill, MD
• Lauren Gill
• Mikayla Gill, MSN, APRN, FNP-C
• Sandeep Gill, MD
• Kamau Casey Gillard, APRN
• William Trent Gillespie, DMD,MPH,
• Barbara Ann Gilleylen, APRN-ANP
• Caitlin Gilliam
• Maurice Gilliard
• Princess Gilliard

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.