Shannon Pritchett, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013031 Issued in IL

Practice address

905 Bluffview LN
Dupo, IL 62239-1483

Phone

(618) 286-3311

NPI assigned

Aug 31, 2017

Last updated

Aug 31, 2017By 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

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1326566233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PELHAM PT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622265994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BLUFFVIEW LN",
            "city": "DUPO",
            "state": "IL",
            "postal_code": "622391483",
            "telephone_number": "618-286-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "SHANNON",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Kloess, D.M.D.
• Jennifer R Lane
• Meghan Mercado, CNM
• Dhwani Ankur Patel, DMD
• PC Associates, LLC
• Southern Illinois Healthcare Foundation Inc (SIHF Healthcare)
• Sarah M Tigo, M.S., CCC-SLP
• Akshay Vij, BDS
• Kristen Kay White, SSP

• Speech-Language Pathologist in Dupo, IL
• Providers in Dupo, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.