Individual provider Active NPI

Shannon Hilliker, CCC-SLP

  • Speech-Language Pathologist
  • Southgate, MI
National Provider Identifier
1386453694
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101001919 Issued in MI
Practice address
13331 Reeck CT # 201
Southgate, MI 48195-3054
Phone
(734) 675-3908
NPI assigned
Jan 1, 2025
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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 7101001919 MI Primary

Addresses

Primary practice location

13331 Reeck CT # 201
Southgate, MI 48195-3054

Mailing address

28422 Dawnridge Dr
Flat Rock, MI 48134-3312
Phone (313) 506-3560

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
7101001919MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication & Speech Services Speech-Language Pathologist CurrentSince Jan 5, 2025 Accepting new patients

Locations

13331 Reeck Ct
#201
Southgate, MI 48195
Phone (734) 675-3908

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1386453694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28422 DAWNRIDGE DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481343312",
            "telephone_number": "313-506-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 REECK CT # 201",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-675-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIKER",
        "first_name": "SHANNON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.