Individual provider Active NPI

Shannon Sarajean Hall-Mills, CCC-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1376721597
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6963 Issued in FL
Practice address
240 Mabry St
Tallahassee, FL 32304-3815
Phone
(850) 322-7721
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA6963 FL Primary

Addresses

Primary practice location

240 Mabry St
Tallahassee, FL 32304-3815

Mailing address

1508 Woodgate Way
Tallahassee, FL 32308-0546
Phone (850) 322-7721

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

State licenses

LicenseStateTypeSpecialty
SA6963FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1376721597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WOODGATE WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080546",
            "telephone_number": "850-322-7721",
            "fax_number": "850-644-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MABRY ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043815",
            "telephone_number": "850-322-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-MILLS",
        "first_name": "SHANNON",
        "middle_name": "SARAJEAN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.