Christina Shannon

Primary specialty

SpecialistTaxonomy code 174400000X

License

14413934 Issued in NJ

Practice address

400 Belchase Dr Ste 406
Matawan, NJ 07747-9760

Phone

(732) 851-6947

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hitting Milestones, LLC

  • Speech-Language Pathologist
  • Matawan, NJ
  • NPI 1710353552

  Multi-Specialty

  NPD (past)
• Little Sprouts Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Toms River, NJ
  • NPI 1922864610
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1407426729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BELCHASE DR STE 406",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479760",
            "telephone_number": "732-851-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BELCHASE DR STE 406",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479760",
            "telephone_number": "732-851-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "14413934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "471300603",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christinashannon18@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "400 Belchase Dr Ste 406",
            "city": "Matawan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077479760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Settler
• Yaffa Setton, IBCLC
• Sahar M Shafey, M.D.
• Miloniben Ketan Shah
• Msallam Shami, MD
• Marilyn Elise Shaughnessy
• Christina Shenoda, PHARMAD
• Diane A. Sheppard, MSW, LSW, MAC
• Priya Manan Sheth, PT
• Angelica Sheyer, PT

• Specialist in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.