Individual provider Active NPI

Shannon Elaine Knapp, M.S., SLP

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1437422060
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP7649 Issued in AZ
Practice address
25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141
Phone
(480) 513-4627
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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 TSLP7649 AZ Primary

Addresses

Primary practice location

25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141

Mailing address

14458 N 100TH PL
Scottsdale, AZ 85260-7540
Phone (650) 996-4577

Other identifiers 1

IdentifierTypeStateIssuer
TSLP7649OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TSLP7649AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzspot Pediatric Therapy-East Valley Speech-Language Pathologist Past Accepting new patients
Proficio Speech Therapy Group, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1437422060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14458 N 100TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607540",
            "telephone_number": "650-996-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25615 N RANCH GATE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552141",
            "telephone_number": "480-513-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "SHANNON",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "TSLP7649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.