Shannon R Shaunak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11969 Issued in FL

Practice address

9803 Old Saint Augustine Rd Ste 7
Jacksonville, FL 32257-8845

Phone

(904) 880-9001

NPI assigned

Jul 2, 2024

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

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1235975970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 WATTLE TREE RD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9803 OLD SAINT AUGUSTINE RD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578845",
            "telephone_number": "904-880-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUNAK",
        "first_name": "SHANNON",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Elizabeth Shauger, M.D.
• Arshad Shauib, PHARMD
• Allison Shaunak
• Shaw Chiropractic LLC
• Rachel Shaw-Wilson
• Andrea B Shaw, DC
• Andreae Arey Shaw, M.D.
• Andrew Brian Shaw, M.D.

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.