NPIMap

Organization Active NPI

Shannon Stevens Speech Pathology LLC

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1326813767
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SHANNON STEVENS SPEECH PATHOLOGY LLC
Doing business as
Santa Monica Speaks
Practice address
12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542
Phone
(303) 710-5631
Fax
(310) 207-4401
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon Stevens, M.S., CCC-SLP
Title
Speech Language Pathologist/Owner
Phone
(303) 710-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542

Mailing address

12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542
Phone (303) 710-5631

Other names 1

  • Santa Monica Speaks Doing business as

National Provider Directory

National Provider Directory

Locations

12304 Santa Monica Blvd
Ste 364
Los Angeles, CA 90025
Phone (303) 710-5631

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1326813767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 364",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "303-710-5631",
            "fax_number": "310-207-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 364",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "303-710-5631",
            "fax_number": "310-207-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON STEVENS SPEECH PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "303-710-5631",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Speaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.