Individual provider Active NPI

Shairene Alo, MA, CCC-SLP

  • Speech-Language Pathologist
  • Sylvania, OH
National Provider Identifier
1962051151
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-12451 Issued in OH
Practice address
6400 Monroe St Ste C
Sylvania, OH 43560-1400
Phone
(419) 540-1886
NPI assigned
Sep 10, 2019
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-12451 OH Primary

Addresses

Primary practice location

6400 Monroe St Ste C
Sylvania, OH 43560-1400

Mailing address

4545 Smith Rd
Ottawa Lake, MI 49267-8609
Phone (419) 304-0806

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-12451OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carpe Diem Therapy LLC Speech-Language Pathologist CurrentSince Aug 4, 2024 Accepting new patients

Locations

6400 Monroe St
Ste C
Sylvania, OH 43560
Phone (419) 540-1886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1962051151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 SMITH RD",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492678609",
            "telephone_number": "419-304-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MONROE ST STE C",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601400",
            "telephone_number": "419-540-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALO",
        "first_name": "SHAIRENE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-12451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.