Shannon Ashley Cornett Mendenhall

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ7819 Issued in FL

Practice address

12170 Cortez Blvd
Brooksville, FL 34613-5578

Phone

(352) 597-5100

NPI assigned

Apr 25, 2018

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 names 1

• Shannon Ashley Cornett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1427546472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23400 WHITE MAGNOLIA PL APT 201",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135578",
            "telephone_number": "352-597-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "SHANNON",
        "middle_name": "ASHLEY CORNETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CORNETT",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rohit Shori Mehra, DO, MPH, MS
• Meimei Family Acupuncture
• Viviana Aimee Melendez Muniz, MD
• Janie I Melton
• Melvin C. Lu, M.D., LLC
• Anderson R Mendes, LMT
• Macaria Mercaldi
• Douglas Daniel Mercier, NP-C
• Meridien Research
• Merlino Eye Associates PA

• Speech-Language Pathologist in Brooksville, FL
• Providers in Brooksville, 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 Apr 25, 2018; 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.