Shawnda Metellus, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

04927 Issued in MD

Practice address

4200 Forbes Blvd Ste 112
Lanham, MD 20706-4342

Phone

(301) 661-4729

Fax

(480) 287-8119

NPI assigned

Mar 27, 2007

Last updated

Jul 7, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Something 2 Talk About, Inc.

  • Speech-Language Pathologist
  • Lanham, MD
  • NPI 1174916795
  NPD Authorized official
• Something 2 Talk About, Inc.

  • Early Intervention Provider Agency
  • Upper Marlboro, MD
  • NPI 1205168820
  NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1245359934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 112",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064342",
            "telephone_number": "301-661-4729",
            "fax_number": "480-287-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 112",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064342",
            "telephone_number": "301-661-4729",
            "fax_number": "480-287-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELLUS",
        "first_name": "SHAWNDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012762100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mentor-Maryland
• Karla N Mercado
• Mercymary Behavioral Health LLC
• Merging Hearts Healthcare
• Ekupe Mesumbe
• Dieudonne Metombe, LPN
• Metropolitan Behavioral Health Services, Inc (Metropolitan Behavioral Health Services)
• Metropolitan Hospitalists LLC
• Metropolitan Medical Specialists LLC
• Metropolitan Patient Services

• Speech-Language Pathologist in Lanham, MD
• Providers in Lanham, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.