Active NPI
Amy L. Shoemaker, M.S., CCC-SLP
- Speech-Language Pathologist
- Plymouth, MI
National Provider Identifier
1881138667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12125514
- Practice address
- 46200 Port St
Plymouth, MI 48170-6048 - Phone
- (734) 454-0866
- NPI assigned
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101001310 | MI | |
| Speech-Language Pathologist | 235Z00000X | 12125514 | MI | Primary |
Addresses
Primary practice location
46200 Port St
Plymouth, MI 48170-6048
Mailing address
46200 Port St
Plymouth, MI 48170-6048
Phone (734) 454-0866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101001310 | Other | MI | STATE OF MICHIGAN SPEECH-LANGUAGE PATHOLOGIST LICENSE |
| 12125514 | Other | MI | ASHA |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12125514 | MI | MD | Speech-Language Pathologist |
| 7101001310 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1881138667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46200 PORT ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706048",
"telephone_number": "734-454-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46200 PORT ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706048",
"telephone_number": "734-454-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "AMY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101001310",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "12125514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN SPEECH-LANGUAGE PATHOLOGIST LICENSE",
"identifier": "7101001310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12125514",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.