Active NPI
Shannon Marie Doody, CCC-SLP
- Speech-Language Pathologist
- Nashville, TN
National Provider Identifier
1063923019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000006731
- Practice address
- 719 Thompson LN
Nashville, TN 37204 - Phone
- (615) 322-3000
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000006731 | TN | Primary |
| Speech-Language Pathologist | 235Z00000X | 027006 | NY |
Addresses
Primary practice location
719 Thompson LN
Nashville, TN 37204
Mailing address
1215 21St Ave S
Nashville, TN 37232-0014
Phone (516) 458-9959
Other practice location 1
400 Ashford St
Brooklyn, NY 11207-3801
Phone (718) 277-6116
Other practice location 2
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-3000
Other practice location 3
1215 21st Ave S Fl 6
Nashville, TN 37232
Phone (615) 936-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6731 | TN | MD | Clinical Social Worker |
| 0000006731 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1063923019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320014",
"telephone_number": "516-458-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 THOMPSON LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37204",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [
{
"address_1": "400 Ashford St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112073801",
"country_code": "US",
"telephone_number": "718-277-6116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "719 Thompson Ln",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37204",
"country_code": "US",
"telephone_number": "615-322-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 21st Ave S Fl 6",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37232",
"country_code": "US",
"telephone_number": "615-936-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOODY",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000006731",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.