Erin Eileen Shackelton, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016398 Issued in NY

Practice address

4380 Vireo Ave
Apt 5T
Bronx, NY 10470-2321

Phone

(607) 435-9292

Fax

(347) 346-5330

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By 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

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1942452040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 VIREO AVE",
            "address_2": "APT 5T",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104702321",
            "telephone_number": "607-435-9292",
            "fax_number": "347-346-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 VIREO AVE",
            "address_2": "APT 5T",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104702321",
            "telephone_number": "607-435-9292",
            "fax_number": "347-346-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELTON",
        "first_name": "ERIN",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwameisha Shabazz
• Sajda Shabazz
• Javeria Shabbir
• Shabelivy Limited
• Hedva Shachter
• Shadow Housing Inc (Assistance By Improv ll inc)
• David Shaeffer
• Adara Shafe, LMSW
• Ruth M Shaffer, PH.D.
• Scott Shaffer, MD

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.