Active NPI
Shelby Diane Sanders, SLPA
- Speech-Language Pathologist
- Easley, SC
National Provider Identifier
1932987344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8291
- Practice address
- 505 E 2ND Ave
Easley, SC 29640-3011 - Phone
- (864) 397-1700
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8291 | SC | Primary |
Addresses
Primary practice location
505 E 2ND Ave
Easley, SC 29640-3011
Mailing address
206 Cedar Knoll Way
Greer, SC 29651-6099
Phone (716) 378-6901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8291 | SC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1932987344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 CEDAR KNOLL WAY",
"city": "GREER",
"state": "SC",
"postal_code": "296516099",
"telephone_number": "716-378-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 2ND AVE",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403011",
"telephone_number": "864-397-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "SHELBY",
"middle_name": "DIANE",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "8291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
- Phillip W Saccogna, MD
- Sam's East, Inc (Sam's Club Vision Center 30-4901)
- Samaritan Health Clinic of Pickens County
- Sams East Inc (Sam's Club Pharmacy 10-4901)
- Jennifer Allison Sanders
- SC Urgent Care LLC (DBA Upstate Urgent Care)
- SC-Ga2018 Capstone Rehabilitation and Healthcare Center, LLC (Capstone Rehabilitation and Healthcare Center)
- SC-Ga2018 Fleetwood Rehabilitation and Healthcare Center, LLC (Fleetwood Rehabilitation and Healthcare Center)
- Kristina Schafer, NP-C
- Adam Lance Schendel, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.