Shannon Blackstone

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4673 Issued in SC

Practice address

33 Percy St Apt B
Charleston, SC 29403-5957

Phone

(803) 212-8971

NPI assigned

Oct 18, 2010

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

Practice roles

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.

• Shooting Star Speech Therapy LLC

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1578329520
  NPD Authorized official
• Eat Talk Play

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1467870600
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1164732616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STALLSVILLE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PERCY ST APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035957",
            "telephone_number": "803-212-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Alayne Black
• Robert F Blackard, M.D.
• Joseph Stephan Blackman, MD
• Mary Paugh Blackmon, M.D.
• Trevor Lynn Blackstock, MD
• Russell Steven Blackwelder, M.D. , M.DIV.
• Sarah Grace Blackwell, RBT
• April Pineda Favela Blackwood, MD
• Corey Blagsvedt, RBT
• Christy M Blair, APRN

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.