Active NPI
Shannon Rae Erickson, M.ED., CCC-SLP
- Speech-Language Pathologist
- Durango, CO
National Provider Identifier
1326003153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4412
- Practice address
- 3230 Junction St
Durango, CO 81301-4141 - Phone
- (970) 335-8115
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113334 | TX | |
| Speech-Language Pathologist | 235Z00000X | 4412 | NM | Primary |
| Speech-Language Pathologist | 235Z00000X | 0001761 | CO |
Addresses
Primary practice location
3230 Junction St
Durango, CO 81301-4141
Mailing address
3230 Junction St
Durango, CO 81301-4141
Phone (970) 335-8115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142860721 | Medicaid | AR | |
| 5U956 | Other | AR | BLUE CROSS |
Other names 1
- Mrs. Shannon Rae Hale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113334 | TX | MD | Pediatric Occupational Therapist |
| 0001761 | CO | MD | Speech-Language Pathologist |
| 4412 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1326003153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 JUNCTION ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014141",
"telephone_number": "970-335-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 JUNCTION ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014141",
"telephone_number": "970-335-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "SHANNON",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113334",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "4412",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0001761",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142860721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5U956",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "HALE",
"middle_name": "RAE",
"prefix": "MRS.",
"credential": "M.ED., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.