Samantha Shaw

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014340 Issued in PA

Practice address

5000 Libbie Mill East Blvd Apt 362
Richmond, VA 23230-2169

Phone

(862) 324-1255

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1932760758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LIBBIE MILL EAST BLVD APT 362",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302169",
            "telephone_number": "862-324-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LIBBIE MILL EAST BLVD APT 362",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302169",
            "telephone_number": "862-324-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Woodcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190875444",
            "country_code": "US",
            "telephone_number": "862-324-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010322",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung-I Shaw, M.D.
• James E. Shaw, M.D.
• Kendall Jones Shaw III, M.D.
• Margaret Helen Shaw
• Melissa Shaw, NP
• Scott Warren Shaw, DC
• Travis Laron Shaw, MD
• Hala Ahmed Shawki, RPH
• Jillian Shawnik, CRNA
• Shays Enterprises LLC

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.