Shannon R Presley
Individual provider Active NPI Speech-Language Pathologist · Roanoke, TX
NPI 1033322003 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033322003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 100927 (TX)
- Practice address
- 13601 Lost Spurs Rd
Roanoke, TX 76262-4506 - Phone
- (817) 874-5578
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of North Texas Health Science Center at Fort Worth
Practice addresses (Care Compare)
907 W Sycamore St
Denton, TX 76201-4049
Phone (940) 565-2262
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 76.45
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220106000591 | TX | Practitioner - Qualified Speech Language Pathologist | 7416348123 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current |
Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current |
Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Past | Accepting new patients |
Locations
3500 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 735-2000
855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100927 | TX | Yes |
Addresses
Primary practice location
13601 Lost Spurs Rd
Roanoke, TX 76262-4506
Mailing address
907 W Sycamore
Denton, TX 76203-5010
Phone (940) 369-7497
Other providers in Roanoke, TX
- Aly Partridge
- Courtney Peebles
- Lily Phung
- Lynn M Poston
- Deanna J Powell
- Pride Home Health Care LLC
- Professional Dental Alliance of TX 43003 PLLC
- Psychology Care Associates PLLC
- Q. D. Nguyen PLLC
- Valerie R Quinn
All providers in Roanoke, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.