Active NPI
Shannon Vincent Nelson, M.A. CCC-SLP
- Speech-Language Pathologist
- Bellaire, TX
National Provider Identifier
1407150675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 107606
- Practice address
- 4500 Bissonnet St
Suite 340
Bellaire, TX 77401-3120 - Phone
- (713) 838-9050
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 107606 | TX | Primary |
Addresses
Primary practice location
4500 Bissonnet St
Suite 340
Bellaire, TX 77401-3120
Mailing address
4500 Bissonnet St
Suite 340
Bellaire, TX 77401-3120
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107606 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1407150675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 BISSONNET ST",
"address_2": "SUITE 340",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BISSONNET ST",
"address_2": "SUITE 340",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013120",
"telephone_number": "713-838-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SHANNON",
"middle_name": "VINCENT",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "107606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.