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NPI Code Detail

MEDICARE: SHANA PICKETT

MEDICARE: SHANA PICKETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP7714NM

General Provider Information

NPI Number : 1699433177
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA PICKETT
Provider Business Mailing Address
First Line : 301 PERKINS DR STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3248
Country : US
Telephone Number : 575-526-6682
Fax Number :
Provider Business Practice Location Address
First Line : 1681 HICKORY LOOP
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-6587
Country : US
Telephone Number : 575-647-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2021
Last Update Date : 12/08/2025

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Directions to “ SHANA PICKETT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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