Shicole Monique Edison, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2840 Issued in OK

Practice address

1614 NW 47TH St
Lawton, OK 73505-3208

Phone

(580) 355-6033

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1922475169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 SW OAK CLIFF AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057728",
            "telephone_number": "580-536-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 NW 47TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053208",
            "telephone_number": "580-355-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDISON",
        "first_name": "SHICOLE",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Ebner, NP-C
• Valarie Jean Eck, DPH
• Sena Ann Eckiwaudah
• Verlecia Eddy
• Marlene Michelle Edior-Garcia, ARNP
• Ella Mae Edmondson
• Calah Edstrom, RBT
• Amy Edwards
• Ashley Diane Edwards, MS. CCC-SLP
• James Alan Edwards, O.D.

• Speech-Language Pathologist in Lawton, OK
• Providers in Lawton, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.