Shana K Connelly, MASTERS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8602 Issued in OH

Practice address

4076 Dennis LN
Brunswick, OH 44212-2904

Phone

(330) 220-8266

NPI assigned

Aug 28, 2007

Last updated

Feb 25, 2025By 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 names 1

• Krishel Connelly Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Empowerme Rehabilitation Illinois, LLC

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1528652096

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1275727760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 DENNIS LN",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122904",
            "telephone_number": "330-220-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 DENNIS LN",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122904",
            "telephone_number": "330-220-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "SHANA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MASTERS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISHEL",
            "last_name": "CONNELLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Coates, LPN
• Aden John Cockburn, DC
• Brian Colbert, RPH
• Stacey Ann Dubyna Collier, R. N.
• Compass Health Services Inc
• Maya L Cortes, LSW, LCDCIII
• Susan Cossel
• Rebecca Coughlin, COTA
• Jeffrey M Creed, P.T.
• Cross Creek Family Dental

• Speech-Language Pathologist in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.