Erin Michelle Shannon, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP5976 Issued in AZ

Practice address

4545 N 36TH St
125A
Phoenix, AZ 85018-3462

Phone

(602) 224-0202

NPI assigned

May 9, 2013

Last updated

May 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arizona Institute for Communication & Cognitive Disorders Inc

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1013134170
  Medicare reassignment NPD
• Healthy Brain Aging, LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1700437506
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1023453511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST",
            "address_2": "125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183462",
            "telephone_number": "602-224-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST",
            "address_2": "125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183462",
            "telephone_number": "602-224-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Shank, MD
• William Austin Shank, MD
• Pragyna Shankar-Seetharam, M.D.
• Meghna Shankar, DO
• Sanjay Vasudevan Shankar, M.D.
• Jeremy Shannon
• Lani Renae Shannon, BSN, RN
• Ryan Taylor Shannon, MD
• Alyssa Caitlin Shanosky, PHARMD
• Shanti Auto Injury and Accident, PLLC

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.