Shannon Taylor, Speech Language Pathologist, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7003 Issued in FL

Legal business name

SHANNON TAYLOR, SPEECH LANGUAGE PATHOLOGIST, INC.

Practice address

2456 SW Independence Rd
Port St Lucie, FL 34953-2415

Phone

(772) 528-1842

Fax

(888) 899-5320

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Shannon E Taylor

Title

Owner

Phone

(772) 528-1842

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Shannon Elizabeth Caruana, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Port St Lucie, FL
  • NPI 1699976688
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1346652872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 SW INDEPENDENCE RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532415",
            "telephone_number": "772-528-1842",
            "fax_number": "888-899-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 SW INDEPENDENCE RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532415",
            "telephone_number": "772-528-1842",
            "fax_number": "888-899-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON TAYLOR, SPEECH LANGUAGE PATHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-528-1842",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892221700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Michelle Sevilla, MD
• Bobby Ajay Shah, M.D.
• Uday Shah, RPH
• Urmil Shah, RPH
• Eusra Rahat Shams, PHARMD
• Shantell Walkine Dba Brighter Care
• Shardae Tripp Counseling LLC
• Samantha Latoya Shaw
• Joyce Sheffield
• Janaid Hameed Sheikh, D.O.

• Speech-Language Pathologist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.