Shannon Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010686 Issued in PA

Practice address

4227 Manor Dr
Stroudsburg, PA 18360-9451

Phone

(570) 992-4172

NPI assigned

Sep 27, 2012

Last updated

Sep 27, 2012By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1144571340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PROSPECT AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609451",
            "telephone_number": "570-992-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Smith, LPTA
• Denise Smith, ATC, LAT
• DO Costa Sinclair Smith, BCBA
• Lainie Smith, PA-C
• Noah Smith, CRNP
• SMSJ Services LLC (n/a)
• Kate-Lyn Snare, RD, LDN
• Bruce E Snyder, MS
• Solace and Comfort Services LLC
• Tammy Sombers, PSY.D.

• Speech-Language Pathologist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.