Shannon Sullivan, Ms, CCC-SLP, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHANNON SULLIVAN, MS, CCC-SLP, LLC

Practice address

9520 Prototype CT
Reno, NV 89521-5916

Phone

(775) 852-6323

NPI assigned

Jul 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Sullivan, MS, CCC-SLPNPI 1841822053

Title

Owner

Phone

(775) 825-8284

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Rose Sullivan, MS, CF-SLP

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1841822053
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1144848722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 PROTOTYPE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 PROTOTYPE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215916",
            "telephone_number": "775-852-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON SULLIVAN, MS, CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-825-8284",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany N Shaney, LMSW, CSW-I
• Kong Shang, D.C.
• Shanley Physical Therapy PLLC
• Shanna Schreurs Aprn LLC
• Holly Shannard
• Aleah Shannon
• Darina Kostadinova Shannon, RDN
• Kayla Ann Shannon
• Richard Allen Shannon, M.A.
• Shea Shannon, RN

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.