Shannon Haddad Dunbar, MA/CCC-SLP, CDP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004562A Issued in IN

Practice address

4851 Tincher Rd
Indianapolis, IN 46221-3780

Phone

(317) 856-4851

NPI assigned

Jul 7, 2016

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

Other names 1

• Shannon Haddad Deegan Former name

Medicare fee-for-service enrollment

Enrolled in IN, FL2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Kokomo, IN
  • NPI 1518069913

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1104278779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 TINCHER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213780",
            "telephone_number": "317-856-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 TINCHER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213780",
            "telephone_number": "317-856-4851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 S County Road 550 E",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461237057",
            "country_code": "US",
            "telephone_number": "317-745-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "SHANNON",
        "middle_name": "HADDAD",
        "credential": "MA/CCC-SLP, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004562A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DEEGAN",
            "middle_name": "HADDAD",
            "credential": "MA/CCC-SLP, CDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alleya Dumas, LSW
• Katherine Dumbauld
• Heather Marie Dumond, PHARMD
• Lucinda Geis Dunaway, M.D.
• Jennifer Carol Dunbar, MD
• Sandra Louise Duncan-Hardin, LMHC
• Robbin Duncan-Taylor
• Abigail Duncan, NP
• Curtis Duncan
• Daneisha Duncan

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.