Shannon R Raby, SPEECH PATHOLOGIST M

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102510 Issued in TX

Practice address

1966 Inwood Rd
Dallas, TX 75235-7298

Phone

(214) 905-3010

Fax

(214) 905-3022

NPI assigned

Apr 10, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• University of Texas at Dallas

  • Audiologist
  • Dallas, TX
  • NPI 1770559973

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043433279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "214-905-3010",
            "fax_number": "214-905-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "214-905-3010",
            "fax_number": "214-905-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABY",
        "first_name": "SHANNON",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "SPEECH PATHOLOGIST M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Steven Rab, MD
• Steven Frank Rabago II
• Tiffany Michelle Baldi Rabe, M.D.
• Brandon Chase Rabeler, M.D.
• Alexander Rabinovich, M.D.
• John Anthony Racanelli, MD
• Mark A Raccasi, M.D.
• Elizabeth M Race, MD
• James E Race
• Jennifer Race

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.