Individual provider Active NPI

Shannon M Combs, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hot Springs, AR
National Provider Identifier
1033509443
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3478 Issued in AR
Practice address
154 Cornerstone Blvd
Hot Springs, AR 71913-6560
Phone
(501) 525-4855
NPI assigned
Jan 24, 2015
Last updated
Jan 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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 3478 AR Primary

Addresses

Primary practice location

154 Cornerstone Blvd
Hot Springs, AR 71913-6560

Mailing address

11 Barcelona LN
Hot Springs Village, AR 71909-2647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124000337 AR Practitioner - Qualified Speech Language Pathologist 9638416993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hope Therapy LLCGroup PAC ID 4587913942, 13 clinicians

Practice addresses (Care Compare)

456 Brodrick St
Hot Springs, AR 71901-7550
Phone (501) 701-4207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3478ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Therapy LLC CurrentSince Sep 20, 2018 Accepting new patients

Locations

4328 Central Ave
Ste M
Hot Springs National Park, AR 71913
Phone (501) 358-6535

456 Brodrick St
Hot Springs National Park, AR 71901
Phone (501) 701-4207

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": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422057600000",
    "number": "1033509443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BARCELONA LN",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719092647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CORNERSTONE BLVD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136560",
            "telephone_number": "501-525-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.