Individual provider Active NPI

Shana Lorene McGill, M.ED CCC-SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1114262250
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12153054 Issued in NC
Practice address
711 Signal Mountain Rd Ste 288
Chattanooga, TN 37405-1823
Phone
(423) 498-6546
Fax
(423) 498-6509
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 12153054 NC Primary

Addresses

Primary practice location

711 Signal Mountain Rd Ste 288
Chattanooga, TN 37405-1823

Mailing address

711 Signal Mountain Rd Ste 288
Chattanooga, TN 37405-1823
Phone (423) 498-6546

Other practice location 1

3219 Pleasant Garden Rd Apt 2D
Greensboro, NC 27406-4641
Phone (910) 734-5459

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

LicenseStateTypeSpecialty
7258TNMDPharmacist
12153054NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1114262250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SIGNAL MOUNTAIN RD STE 288",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051823",
            "telephone_number": "423-498-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SIGNAL MOUNTAIN RD STE 288",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051823",
            "telephone_number": "423-498-6546",
            "fax_number": "423-498-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 Pleasant Garden Rd Apt 2D",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274064641",
            "country_code": "US",
            "telephone_number": "910-734-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "SHANA",
        "middle_name": "LORENE",
        "name_prefix": "Miss",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12153054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.