Shannon K Randall, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA10368 Issued in AZ

Practice address

2172 N Arizola Rd
Casa Grande, AZ 85122-6372

Phone

(520) 876-5397

NPI assigned

Aug 15, 2017

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

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.

• Casa Grande Elementary School District

  • Local Education Agency (LEA)
  • Casa Grande, AZ
  • NPI 1447538095
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1265958912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W KORTSEN RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225910",
            "telephone_number": "520-876-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 N ARIZOLA RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226372",
            "telephone_number": "520-876-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "SHANNON",
        "middle_name": "K",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLPA LICENCE",
            "identifier": "SLPA10368",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Raccuia
• Ambar Rahman, MD
• Mercedes Alyssa Ramirez Gutierrez, RBT
• Karen L Ramirez, LMT
• Keily Leen Ramos Yon
• Sangram Singh Randhawa, MD
• Sheila Rao, DMD
• Rhianna Sian Rascon
• Vincent Fabian Rascon, R.T. (R)(T)(ARRT)
• Sylvia Rash

• Speech-Language Assistant in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.