Shamara Walker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011697 Issued in GA

Practice address

2001 Lawrenceville Suwanee Rd Ste 201
Suwanee, GA 30024-2626

Phone

(678) 889-0803

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Step Above Pediatric Therapy

  • Speech-Language Pathologist
  • Suwanee, GA
  • NPI 1235846874
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1912661620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAWRENCEVILLE SUWANEE RD STE 201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242626",
            "telephone_number": "678-889-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAWRENCEVILLE SUWANEE RD STE 201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242626",
            "telephone_number": "678-889-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00531700",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Cameron Walker, CIT
• Macey Walker, PHARMD
• Megan Renee Walker, CADC-II
• Trevor Dewitt Wallace
• Elizabeth Workspace- Elizabeth Walls, MS, CCN
• Youjin Walsh
• Jhana Walters, RBT
• Alan L Wang, M.D.

• Speech-Language Pathologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.