Shannon Intelisano

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP5758 Issued in OH

Practice address

15796 Georgia Rd
Middlefield, OH 44062-9261

Phone

(440) 221-4296

NPI assigned

Apr 16, 2007

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

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Lee Specialists LLC

  • Speech-Language Pathologist
  • Middlefield, OH
  • NPI 1740910538
  Medicare reassignment NPD Authorized official
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1285859264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15796 GEORGIA RD",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629261",
            "telephone_number": "440-221-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15796 GEORGIA RD",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629261",
            "telephone_number": "440-221-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTELISANO",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP5758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopewell
• Hopewell
• Daniel B. Horne, PCC-S, LSW
• Alison E Hoskin
• Andrea Hulls, PT, DPT
• Isadore John Youshak
• Brian Jacobs
• Jon J Floriano, MD, LLC
• Sylvia K Jurcak, OTR/L
• Edward Kamensky, RPH

• Speech-Language Pathologist in Middlefield, OH
• Providers in Middlefield, 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 Jun 14, 2022; 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.