Shannon McIntire, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14338404 Issued in WA

Practice address

350 W Fir St
Sequim, WA 98382-3352

Phone

(360) 582-3200

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1295492718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W 13TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983636883",
            "telephone_number": "360-774-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W FIR ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823352",
            "telephone_number": "360-582-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "SHANNON",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "14338404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gordon McBride, PH.D.
• Kyle Caldwell McCartt, PA
• Amanda Claire Beatrice McCree-King, LAICSW
• Tayler McCrorie, LMHC
• David Luke McDonald, DDS
• Rachel Caroline McLloyd
• E Brooks McMillan, NP
• Elliott McMurray, LICSW
• MCP Discovery Wa Opco LLC
• Lauren Elizabeth Meehan

• Speech-Language Pathologist in Sequim, WA
• Providers in Sequim, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.