Shanita D Shaw, M.A CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3585 Issued in SC

Practice address

2495 Fairway Dr
Orangeburg, SC 29118-4003

Phone

(803) 378-5284

Fax

(803) 531-6322

NPI assigned

Aug 31, 2006

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 Arts

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1851402432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 FAIRWAY DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291184003",
            "telephone_number": "803-378-5284",
            "fax_number": "803-531-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 FAIRWAY DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291184003",
            "telephone_number": "803-378-5284",
            "fax_number": "803-531-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SHANITA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "M.A CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0712",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet S. Shafer, M.A., CCC/SLP
• Sapna Pathak Shah, MD
• Ramsha Shams, MD
• Timothy Scott Shaver, M.D.
• Jennifer Steffen Shaw, LPC
• Taryn Blaine Shaw, MSN, APRN, PNP-PC
• Dennis J Shay, DC
• Lyle Shelver, M.D.
• Pravina B Sheth, MD
• Shinda LLC

• Speech-Language Pathologist in Orangeburg, SC
• Providers in Orangeburg, 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 26, 2021; 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.