Shannon Nichole Fridd, M.S., CCC-SLP, TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0216001 Issued in NY

Practice address

350 Cooper Rd.
Rochester, NY 14617

Phone

(585) 336-3176

Fax

(585) 336-3072

NPI assigned

Mar 16, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science

State licenses

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.

• West Irondequoit Central School District

  • Local Education Agency (LEA)
  • Rochester, NY
  • NPI 1730246059
  NPD (past)

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1043585599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 COVENTRY DRIVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808734",
            "telephone_number": "585-746-1223",
            "fax_number": "585-336-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COOPER RD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14617",
            "telephone_number": "585-336-3176",
            "fax_number": "585-336-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDD",
        "first_name": "SHANNON",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP, TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0216001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean M Frey, MD
• Megan Lee Fribance, LMSW
• Alexandra Marie Frick
• Ann Ford Fricke, N.P.
• William Allen Fricke, M.D.
• Amy Elizabeth Friduss, NP
• Ruth Fried, MA, OTR/L
• Jonathon Friedberg, MD
• Donna E Friedlander
• Alisa P Friedman, O.D.

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.